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Individual
JUDY A DOWD
Active
Individual
JUDY A DOWD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-00481
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042340
MEDICARE PTAN
KS
05
—
100362510A
—
KS
Enumeration date
10/23/2006
Last updated
10/14/2021
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