Individual
LOGAN OUDERKIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1010 N KANSAS ST, WICHITA, KS 67214-3124
(316) 293-2665
Mailing address
PO BOX 505673, SAINT LOUIS, MO 63150-5673
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2024027886
MO
208600000X
Surgery Physician
94-09564
KY
Other
Enumeration date
06/08/2018
Last updated
10/08/2025
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