Judkins, Mercedes V

Judkins, Mercedes V is an individual health care provider with primary practice located at 929 N Saint Francis St , Wichita KS 67214-3821. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, which is considered as her primary health care specialty. Judkins, Mercedes V can be contacted via phone (316) 268-5000.

Contact Information

Primary practice address
929 N Saint Francis St Wichita KS 67214-3821
Fax: (316) 291-7921
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 04-32004 Kansas

Profile Details

NPI number 1104861590
LBN Legal business name Judkins, Mercedes V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2006
Last updated Jul 9th, 2012 - about 12 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 1104861590 NPPES
Kansas MEDICAID 200405180A

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