Individual
AUSTIN KEITH GYDESEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
609 LIBERTY ST, CLAY CENTER, KS 67432-1564
(785) 632-2181
(785) 632-2309
Mailing address
609 LIBERTY ST, CLAY CENTER, KS 67432-1564
(785) 632-2181
(785) 632-2309
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
113242
NE
363LF0000X
Family Nurse Practitioner
Primary
53-79766
KS
Other
Enumeration date
09/03/2020
Last updated
09/13/2023
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