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Individual

TAINA JAUSURAWONG HUDSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5808 W 110TH ST, OVERLAND PARK, KS 66211-2504
(913) 696-8000
(816) 302-9939
Mailing address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
(816) 302-9939

Taxonomy

Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
2017013107
MO
2080P0206X
Pediatric Gastroenterology Physician
93592
SC

Other

Enumeration date
04/09/2014
Last updated
04/15/2025
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