Provider Demographics
NPI:1871986935
Name:KUDER, STEVE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:STEVE
Middle Name:
Last Name:KUDER
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 E PACK ST
Mailing Address - Street 2:
Mailing Address - City:MOUNDRIDGE
Mailing Address - State:KS
Mailing Address - Zip Code:67107-8854
Mailing Address - Country:US
Mailing Address - Phone:620-345-8650
Mailing Address - Fax:620-345-6312
Practice Address - Street 1:200 E PACK ST
Practice Address - Street 2:
Practice Address - City:MOUNDRIDGE
Practice Address - State:KS
Practice Address - Zip Code:67107-8854
Practice Address - Country:US
Practice Address - Phone:620-345-8650
Practice Address - Fax:620-345-6312
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-13
Last Update Date:2021-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1-13961183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist