Individual
AMANDA KAY RUDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 PRAIRIE LN, HOLCOMB, KS 67851-9747
(620) 277-0013
Mailing address
PO BOX 155, HOLCOMB, KS 67851-0155
(620) 277-0013
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2080
KS
Other
Enumeration date
09/06/2007
Last updated
09/06/2007
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