Doctor Name: | DR. KIRSTEN SUE PAULSRUD |
NPI Number: | 1063677284 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPM |
License Number: | 12-00389 |
Business Practice Address: | 2101 N Waldron St Hutchinson, KS - 675021131 |
Business Phone Number: | 6206692500 |
Business Fax Number: | |
Mailing Address: | 2101 N Waldron St, HUTCHINSON |
State: | KS |
Postal Code: | 675021131 |
Phone Number: | 6206692500 |
Fax Number: | |
NPI Enumeration Date: | 07/28/2008 |
NPI Last Update Date: | 07/13/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | 12-00389 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | KS |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |