Dudas, Kristen L

Dudas, Kristen L is an individual health care provider with primary practice located at 2885 N Mayfair Rd , Wauwatosa WI 53222-4404. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Dudas, Kristen L can be contacted via phone (414) 771-6780.

Contact Information

Primary practice address
2885 N Mayfair Rd Wauwatosa WI 53222-4404
Phone: (414) 771-6780
Fax: (414) 238-2424
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1405 Wisconsin

Profile Details

NPI number 1376679092
LBN Legal business name Dudas, Kristen L
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 26th, 2007
Last updated Apr 6th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376679092 NPPES
Wisconsin MEDICAID 41932600

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