Individual
KENDAHL ANN LUDIKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
905 E D ST, DEER PARK, WA 99006-5167
(509) 276-5005
Mailing address
PO BOX 1529, DEER PARK, WA 99006-1529
(509) 276-5005
(844) 807-3782
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA-2200
ID
363A00000X
Physician Assistant
Primary
PA61212113
WA
Other
Enumeration date
02/24/2020
Last updated
08/16/2022
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