Individual
KALI RUBENTHALER-BRUNKHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
106 WILLOW RD, GOODLAND, KS 67735-1518
(785) 890-4012
(785) 890-6077
Mailing address
106 WILLOW RD, GOODLAND, KS 67735-1518
(785) 890-4012
(785) 890-6077
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0535360
KS
207Q00000X
Family Medicine Physician
7419
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1679893788
BCBS
KS
05
—
200750580C
—
KS
Enumeration date
06/11/2010
Last updated
05/03/2017
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