Provider Demographics
NPI:1699412668
Name:KUDRNA, LAYNEE R (MS CF-SLP)
Entity Type:Individual
Prefix:
First Name:LAYNEE
Middle Name:R
Last Name:KUDRNA
Suffix:
Gender:F
Credentials:MS CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:140 1ST ST E
Mailing Address - Street 2:
Mailing Address - City:DICKINSON
Mailing Address - State:ND
Mailing Address - Zip Code:58601-5211
Mailing Address - Country:US
Mailing Address - Phone:701-300-0019
Mailing Address - Fax:701-483-0060
Practice Address - Street 1:140 1ST ST E
Practice Address - Street 2:
Practice Address - City:DICKINSON
Practice Address - State:ND
Practice Address - Zip Code:58601-5211
Practice Address - Country:US
Practice Address - Phone:701-300-0019
Practice Address - Fax:701-483-0060
Is Sole Proprietor?:No
Enumeration Date:2022-05-19
Last Update Date:2022-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND2076235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist