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Individual

DR. KELLI LYNN RUDMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
320 MCKENZIE AVE STE 202, COUNCIL BLUFFS, IA 51503-1002
(712) 256-5272
Mailing address
555 N 30TH ST, OMAHA, NE 68131-2136
(531) 355-6540

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
40722
IA

Other

Enumeration date
03/31/2008
Last updated
06/18/2018
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