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Individual

BERNARD O JUDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
373 W 101ST TER, KANSAS CITY, MO 64114
(816) 942-8200
(913) 495-3760
Mailing address
8550 MARSHALL DR STE 220, LENEXA, KS 66214-1505
(913) 495-2208
(913) 273-1148

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
04-18615
KS
207R00000X
Internal Medicine Physician
Primary
35687
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200305490
KS
05
201260916
MO
Enumeration date
10/31/2005
Last updated
07/09/2018
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