Jude Cook, M.D.

Individual provider Active NPI Physical Medicine & Rehabilitation Physician · Wichita, KS

NPI 1205940467 · NPPES record last updated Sep 6, 2019

Key facts

NPI
1205940467
Entity type
Individual (NPI type 1)
Primary specialty
Physical Medicine & Rehabilitation Physician 208100000X
License
04-38402 (KS)
Practice address
8338 W 13TH St N
Wichita, KS 67212
Phone
(316) 729-8888
NPI assigned
Aug 17, 2006
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 20027 NE
Physical Medicine & Rehabilitation Physician 208100000X 04-38402 KS Yes

Addresses

Primary practice location

8338 W 13TH St N
Wichita, KS 67212

Mailing address

8338 W 13TH St N
Wichita, KS 67212-2900

Other practice location 1

8338 W 13th St N
Wichita, KS 67212
Phone (316) 729-8888

Other practice location 2

8303 Dodge St
Omaha, NE 68114-4108
Phone (402) 354-7954

Other providers in Wichita, KS

All providers in Wichita, KS · Physical Medicine & Rehabilitation Physician in Kansas

Sources for this page

Verify at the official NPI Registry.