Thomas Hellerud
Nurse Practitioner in Goodland, KS. Organization (NPI-2).
NPI number1043391972
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1043391972
- Entity type
- Organization (NPI-2)
- Legal business name
- Thomas Hellerud
- Organization subpart
- No
- Enumeration date
- Oct 18, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | KS44102 | KS | Yes |
Practice location
110 W 6th StGoodland, KS 67735-0729
Phone 785-899-7344 · Fax 785-899-5088
Mailing address
Po Box 729110 W 6th St
Goodland, KS 67735-0729
Phone 785-899-7344 · Fax 785-899-5088
Authorized official
Thomas L Hellerud
Arnp
7858997344
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