Basic Information
| Provider Information | |||||||||
| NPI: | 1265804363 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | DUDENHOEFFER | ||||||||
| FirstName: | CAFFREY | ||||||||
| MiddleName: | BROOKS | ||||||||
| NamePrefix: | MRS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | FNP-BC | ||||||||
| OtherOrganizationName: | |||||||||
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| OtherLastName: | BROOKS | ||||||||
| OtherFirstName: | CAFFREY | ||||||||
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| OtherCredential: | FNP-BC | ||||||||
| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | KANSAS UNIVERSITY PHYSICIANS, INC. | ||||||||
| Address2: | 3901 RAINBOW BLVD. 4070 DELP, MS 4017 | ||||||||
| City: | KANSAS CITY | ||||||||
| State: | KS | ||||||||
| PostalCode: | 661600001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9135882501 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | DIVISION OF GENERAL AND GERIATRIC MEDICINE, UNIVERSITY | ||||||||
| Address2: | 3901 RAINBOW BLVD. 6040 DELP, MS 1020 | ||||||||
| City: | KANSAS CITY | ||||||||
| State: | KS | ||||||||
| PostalCode: | 661600001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9135883974 | ||||||||
| FaxNumber: | 9135886055 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/28/2015 | ||||||||
| LastUpdateDate: | 07/21/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | 53-77549 | KS | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.