Elizabeth Gontero Hudek, MD
Individual provider Active NPI Gynecology Physician · Fairway, KS
NPI 1134466444 · NPPES record last updated Jan 7, 2013
Key facts
- NPI
- 1134466444
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gynecology Physician 207VG0400X
- License
- 04-23546 (KS)
- Practice address
- 5607 Canterbury Rd
Fairway, KS 66205-2620 - Phone
- (913) 645-5555
- NPI assigned
- Jan 7, 2013
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-23546 | KS | MD | Gynecology Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 04-23546 | KS | Yes |
Addresses
Primary practice location
5607 Canterbury Rd
Fairway, KS 66205-2620
Mailing address
5607 Canterbury Rd
Fairway, KS 66205-2620
Phone (913) 645-5555
Other providers in Fairway, KS
- Anne Baldwin Grant
- Tedene Halliwell
- Matthew Moser Hastings
- Catherine Hoff
- Leann Stuewe Howard
- Hudson E Inman
- Madison Kathleen Jensen
- KC Family Dental, LLC
- Brooke King
- Katelynn Marie Kreszyn
All providers in Fairway, KS · Gynecology Physician in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 7, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.