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Individual

MR. JAMES DENNIS KUDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
304 FRANKLIN ST, KEOSAUQUA, IA 52565-1164
(319) 293-3171
Mailing address
304 FRANKLIN ST, KEOSAUQUA, IA 52565-1164
(319) 293-3171

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001787
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001787
PA LISENCE NUMBER
IA
Enumeration date
06/20/2007
Last updated
10/17/2007
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