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Individual

DR. ARVIL LONNIE RUDD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
6220 ANTIOCH RD, STE 200, SHAWNEE MISSION, KS 66202-5107
(913) 722-1113
(913) 722-2677
Mailing address
6220 ANTIOCH RD, STE 200, SHAWNEE MISSION, KS 66202-5107
(913) 722-1113
(913) 722-2677

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104887
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
33911023
BLUE CROSS BLUE SHIELD
01
P00220339
RAILROAD MEDICARE
KS
Enumeration date
10/06/2006
Last updated
07/08/2007
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