Individual provider · Type 1 NPI

Tyler Rudisill

Student in an Organized Health Care Education/Training Program · Kansas City, MO

NPI number 1245153154 Active

Practice location

2301 Holmes St
Kansas City, MO 64108-2640

Call (316) 617-9529 Map

Mailing address

2411 N Fieldstone St
Andover, KS 67002-7554

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1245153154

Tyler Rudisill's National Provider Identifier is 1245153154, issued on Jul 30, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Kansas City, MO. The record was last updated on Jul 30, 2026.