Individual
MRS. GEORGIA M. GUDENKAUF
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
201 N 6TH ST, SENECA, KS 66538-1717
(785) 336-6107
(785) 336-0157
Mailing address
1600 COMMUNITY DR, SENECA, KS 66538-9739
(785) 336-6181
(785) 336-3052
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
44336
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
160837
BCBS
KS
01
—
S54735
GEORGIA M GUDENKAUF
KS
Enumeration date
01/12/2006
Last updated
07/09/2007
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