IndividualActive
Brent Dudenhoeffer, MD
NPI 1952033722 · Family Medicine Physician · Fulton, MO
Provider details
- NPI number
- 1952033722
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 2025016128 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2613 Fairway Dr
Fulton, MO 65251-4030
Phone: (573) 642-1990
Fax: (573) 642-5089
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 843966
Kansas City, MO 64184-3966
Registry dates
- Enumerated
- 2022-06-29
- Last updated
- 2025-06-10
- Certified
- 2025-06-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.