Individual
DR. GAYLENE R. KUDRNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2020 JACKSON BLVD, SUITE 1, RAPID CITY, SD 57702-3484
(605) 342-0777
(605) 342-7282
Mailing address
2020 JACKSON BLVD, SUITE 1, RAPID CITY, SD 57702-3484
(605) 342-0777
(605) 342-7282
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
520
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9200363
—
SD
Enumeration date
12/05/2006
Last updated
11/02/2015
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