Individual
DR. JOHN H HULSEN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11501 GRANADA ST, LEAWOOD, KS 66211-1454
(913) 451-3722
(913) 451-5000
Mailing address
11501 GRANADA ST, LEAWOOD, KS 66211-1454
(913) 451-3722
(913) 451-5000
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
04-40029
KS
208200000X
Plastic Surgery Physician
2017018138
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04-40029
KSBHA
KS
01
—
2017018138
MOBRHA
MO
Enumeration date
08/24/2010
Last updated
07/21/2022
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