Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VX0201X | Gynecologic Oncologist | 100151 | MO |
Y | 207VX0201X | Gynecologic Oncologist | 427545 | KS |
NPI | 1043266091 |
---|---|
Provider Name | Michelle R Dudzinski |
First Address | Shawnee Mission, KS 66204-2207 |
Second Address | Shawnee Mission, KS 66204-2207 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/05/2006 |
Last Update Date | 19/05/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
160056241 | RAILROAD MEDICARE (01) | |
18093039 | BCBS OF KANSAS CITY (01) | |
203448204 | (05) | MO |
33677 | HEALTHCARE USA (01) | |
4408217 | AETNA (01) | |
7400201 | UHC (01) | |
B69991 | (02) | MO |