Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. WAYNE LEE KUDERA
ActiveMR. WAYNE LEE KUDERA is a Occupational Therapist healthcare provider located in TYNDALL, South Dakota. NPI 1952686016 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · TYNDALL, SD
Registration Details
- NPI Number
- 1952686016
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 19, 2011 (14.84394161311 yrs)
- Last Updated
- Oct 19, 2011
- License
-
111 (SD)
Practice Information
- Address
-
410 W 16TH AVETYNDALL, SD, 570662318Browse SD providers · Browse ZIP 57066
- Phone
- 6055893341
- Primary Specialty
-
Occupational Therapist
225200000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.