Individual
DR. KENNETH CURTIS DUDLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1705 MAIN ST, SUITE 501, BAKER CITY, OR 97814-3453
(541) 523-4715
Mailing address
PO BOX 324, BAKER CITY, OR 97814-0324
(541) 523-4715
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1656
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
83346
—
OR
Enumeration date
07/11/2006
Last updated
07/08/2007
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