Individual
ALISON MARY KUDRLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1720 BASSETT DR, MANKATO, MN 56001-6569
(507) 682-7100
Mailing address
9 CEDAR POINT LANE NW, ELYSIAN, MN 56028
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
80219830303
PREFERREDONE
MN
Enumeration date
07/23/2020
Last updated
07/23/2020
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