Individual
PAMELA L KUDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN-BC
Contact information
Practice address
1464 SUNBURST DR, O FALLON, MO 63366-6348
(314) 432-9270
(314) 432-9271
Mailing address
1464 SUNBURST DR, O FALLON, MO 63366-6348
(314) 432-9270
(314) 432-9271
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
101674
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1295775989
—
MO
Enumeration date
06/08/2006
Last updated
09/05/2019
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