Provider Demographics
NPI:1265804363
Name:DUDENHOEFFER, CAFFREY BROOKS (FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:CAFFREY
Middle Name:BROOKS
Last Name:DUDENHOEFFER
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:CAFFREY
Other - Middle Name:
Other - Last Name:BROOKS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-BC
Mailing Address - Street 1:KANSAS UNIVERSITY PHYSICIANS, INC.
Mailing Address - Street 2:3901 RAINBOW BLVD. 4070 DELP, MS 4017
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66160-0001
Mailing Address - Country:US
Mailing Address - Phone:913-588-2501
Mailing Address - Fax:
Practice Address - Street 1:DIVISION OF GENERAL AND GERIATRIC MEDICINE, UNIVERSITY
Practice Address - Street 2:3901 RAINBOW BLVD. 6040 DELP, MS 1020
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66160-0001
Practice Address - Country:US
Practice Address - Phone:913-588-3974
Practice Address - Fax:913-588-6055
Is Sole Proprietor?:No
Enumeration Date:2015-10-28
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS53-77549363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily