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Individual

JUDSON HOWARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4401 WORNALL RD, KANSAS CITY, MO 64111-3220
(816) 932-7940
Mailing address
PO BOX 504407, SAINT LOUIS, MO 63150-4407
(816) 932-7940

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2006019444
MO
367500000X
Certified Registered Nurse Anesthetist
2014018609
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
43-557394-031
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2006019444
LICENSE
MO
Enumeration date
04/22/2014
Last updated
04/21/2026
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