Individual
ASHLEY RENEE RUDOLPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14652 W 151ST TER, OLATHE, KS 66062-3729
(913) 634-2507
Mailing address
14652 W 151ST TER, OLATHE, KS 66062-3729
(913) 634-2507
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F02190631
KS
Other
Enumeration date
03/27/2019
Last updated
03/27/2019
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