DR. KELLY LYNN LUDER DO
NPI 1255034294
Student in an Organized Health Care Education/Training Program in Kansas City, MO

Q: What is Kelly Luder's NPI number?

The NPI number for Kelly Luder is 1255034294. It was assigned to this individual provider in the NPPES registry on March 27, 2023.

Q: What is Kelly Luder's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Luder was last updated on September 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 27, 2023PECOS Enrolled

2401 GILLHAM RD, KANSAS CITY, MO 64108(816) 234-3000 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 11, 2025, Jun 22, 2023, Mar 27, 2023 (3 updates tracked since 2023).

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About Dr. Kelly Lynn Luder Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KELLY LYNN LUDER DO (NPI 1255034294) is an individual student in an organized health care education/training program in Kansas City, Missouri and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255034294

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameDR. KELLY LYNN LUDERCredential: DO

Location Address2401 GILLHAM RDKansas City, MO 64108-4619

Mailing Address2401 Gillham RdKansas City, MO 64108-4619 · (816) 234-3000

Phone(816) 234-3000

Sole ProprietorYes

Enumeration DateMarch 27, 2023

Last NPPES UpdateSeptember 11, 20253 updates tracked since enumeration

NPPES CertifiedJune 22, 2023

✔ NPI 1255034294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

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.

2401 GILLHAM RD, Kansas City, MO 64108

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kelly Lynn Luder Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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