Individual
CHARLENE JEAN LUDWIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
5525 W 119TH ST, SUITE 220, OVERLAND PARK, KS 66209-3724
(913) 338-5585
Mailing address
14017 HAYES ST, OVERLAND PARK, KS 66221-2014
(913) 897-0379
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
45750
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1932272184
NPI
KS
01
—
45750
ARNP STATE LICENSE
KS
01
—
P01147691
RR MEDICARE PTAN
KS
Enumeration date
11/16/2006
Last updated
04/24/2013
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