Individual
DR. GOLNAR PRUDHOMME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
4101 S 4TH ST, LEAVENWORTH, KS 66048-5014
(913) 682-2000
(913) 758-4177
Mailing address
701 1ST TER, LANSING, KS 66043-1703
(440) 785-8604
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PP-26
KS
Other
Enumeration date
08/03/2009
Last updated
08/03/2009
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