NPI 1093447856

Cheyenne Ray Dudenhoeffer, MD

Practitioner Family Medicine Physician Fulton, MO

Practice location

Address: 2613 Fairway Dr, Fulton, MO 65251-4030
Phone: (573) 642-1990
Fax: (573) 642-5089
Mailing address: PO Box 843966, Kansas City, MO 64184-3966

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 2025016126 (MO)

Other Family Medicine providers in Missouri →

Registry record

NPI: 1093447856
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Jun 2022
Record last updated: 11 Jun 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.