Individual
DR. AUDRA ANN FELDHAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
415 E US HIGHWAY 69, KANSAS CITY, MO 64119-3118
(816) 454-0377
Mailing address
415 E 69 HIGHWAY, CLAYCOMO, MO 64119-3118
(816) 454-0377
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2016016433
MO
Other
Enumeration date
06/09/2016
Last updated
06/09/2016
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