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Ashley Renee Rudolph

Nurse Practitioner, Family in Olathe, KS. Individual provider (NPI-1).

NPI number1982165429
StatusActive
Last updated in NPPESMar 27, 2019

Details

NPI
1982165429
Entity type
Individual (NPI-1)
Name
Ashley Renee Rudolph
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 27, 2019
Last updated
Mar 27, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, FamilyF02190631KSYes

Practice location

14652 W 151st Ter
Olathe, KS 66062-3729

Phone 913-634-2507

Mailing address

14652 W 151st Ter
Olathe, KS 66062-3729

Phone 913-634-2507

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