Individual
JEREMY S KUDERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1104 W 8TH ST, YANKTON, SD 57078-3306
(605) 665-7841
Mailing address
1104 W 8TH ST, PO BOX 706, YANKTON, SD 57078-3306
(605) 665-7841
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
7840
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
896620000
—
MN
05
—
ENROLLED
—
MN
01
—
P00617249
RAILROAD MEDICARE
MN
Enumeration date
07/22/2006
Last updated
06/26/2020
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