Individual
VINCENT J SUTTON
Active
Individual
VINCENT J SUTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
0420089
KS
207W00000X
Ophthalmology Physician
Primary
14011
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04-20089
MEDICAL LICENSE
KS
01
—
100118450A
KANSAS MEDICAID
KS
01
—
100118450C
KANSAS MEDICAID
KS
05
—
10025619700
—
NE
01
—
14011
MEDICAL LICENSE NE
NE
01
—
180036327
RAILROAD MEDICARE
KS
01
—
2050099803
KS MEDICAID NE SERVICES
KS
01
—
P00060704
RAILROAD MEDICARE
NE
Enumeration date
07/07/2005
Last updated
09/01/2020
Update your record
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