Individual
JUDY D. PECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
10500 QUIVIRA RD, OVERLAND PARK, KS 66215-2306
(816) 763-5446
Mailing address
10301 HICKMAN MILLS DR, 100, KANSAS CITY, MO 64137-1674
(816) 763-5446
(816) 763-8426
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
070696
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
54180
KS
Other
Enumeration date
12/30/2005
Last updated
07/08/2007
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