Individual
TRUDY ANN KANTRA
Active
Individual
TRUDY ANN KANTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
200401642
NC
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
OS007733L
PA
207RP1001X
Pulmonary Disease Physician
Primary
0102202437
VA
207RP1001X
Pulmonary Disease Physician
200401642
NC
207RS0012X
Sleep Medicine (Internal Medicine) Physician
200401642
NC
Other
Enumeration date
06/03/2006
Last updated
02/12/2020
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