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Individual

CHERYL RAE JUDKINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
1391 E 120TH ST, OLATHE, KS 66061-9506
(816) 288-3083
Mailing address
211 CHERRY AVE, OAKLEY, KS 67748-1218
(785) 672-3211

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
53-79584-111
KS
363L00000X
Nurse Practitioner
53-79548-111
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
NA
KS
Enumeration date
02/04/2021
Last updated
03/23/2026
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