Kendra Gudz is a Specialist in North Bend, Washington. Kendra Gudz practices all healthcare services and medical treatments related to Specialist. The NPI Number for Kendra Gudz is 1902932775. The last update date is 2016-09-29.
Kendra Gudz's current location address is Po Box 2043, North Bend, Washington. You can contact this provider via phone number 4254432515. The mailing address for Kendra Gudz is Po Box 2043, North Bend, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kendra Gudz |
|---|---|
| Address | Po Box 2043, North Bend, Washington |
| Phone Number | 4254432515 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LMP |
NPI Number Detail
| NPI Number | 1902932775 |
|---|---|
| Provider Enumeration Date | 2007-02-26 |
| Last Updated Date | 2016-09-29 |
Provider Mailing Address Detail
| Address | Po Box 2043 |
|---|---|
| City | North Bend |
| State | Washington (WA) |
| Post Code | 980452043 |
| Phone Number | 4254432515 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 17224 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 17224 | WA | STATE LIC. NUMBER |
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What is the unique 10-digit identifier code issued to Kendra Gudz by the Centers for Medicare & Medicaid Services?
The Kendra Gudz has been assigned the NPI (National Provider Identifier) 1902932775 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Kendra Gudz's physical address?
The Kendra Gudz is physically located at Po Box 2043, in the city of North Bend, WA, with the postal code 980452043.
What is Kendra Gudz's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kendra Gudz's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.
On what date did Kendra Gudz receive its 1902932775 assignment from the Centers for Medicare & Medicaid Services?
The Kendra Gudz was assigned its 1902932775 on 2007-02-26, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Kendra Gudz most recently updated or revised?
The details related to Kendra Gudz, including its address, specialty, and other relevant information, were last updated or revised on 2016-09-29.