Provider Demographics
NPI:1093942286
Name:KLUDING, PATRICIA M (PT, PHD)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:M
Last Name:KLUDING
Suffix:
Gender:F
Credentials:PT, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 307
Mailing Address - Street 2:
Mailing Address - City:STILWELL
Mailing Address - State:KS
Mailing Address - Zip Code:66085-0307
Mailing Address - Country:US
Mailing Address - Phone:913-522-4894
Mailing Address - Fax:713-344-9420
Practice Address - Street 1:3901 RAINBOW BLVD
Practice Address - Street 2:2032 SON MAIL STOP 4043
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66160-0001
Practice Address - Country:US
Practice Address - Phone:713-344-2401
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-16
Last Update Date:2009-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS11-03287225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist