Individual
KEVIN MICHAEL SUTULOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2301 HOLMES ST, KANSAS CITY, MO 64108-2640
(816) 404-1100
(806) 404-1103
Mailing address
7304 NORTH CONANT AVE, KANSAS CITY, MO 64152
(816) 505-0774
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2003029652
MO
Other
Enumeration date
04/11/2007
Last updated
06/30/2008
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