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Individual

MARIANNE B HUDGINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
6420 PROSPECT AVENUE, SUITE T101, KANSAS CITY, MO 64132-1186
(816) 363-4100
(816) 363-8201
Mailing address
12639 OLD TESSON RD, SUITE 100, SAINT LOUIS, MO 63128-2786
(816) 363-4100
(816) 363-8201

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
04-26395
KS
207R00000X
Internal Medicine Physician
Primary
114452
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
209006808
MO
Enumeration date
10/31/2005
Last updated
11/07/2016
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