Individual
DR. BRIAN S NORTHCUTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1337 S FOUNTAIN DR, OLATHE, KS 66061-7205
(913) 397-7801
(913) 397-7801
Mailing address
PO BOX 6234, LINCOLN, NE 68506-0234
(402) 613-2945
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
Q6250
TX
207Q00000X
Family Medicine Physician
TEP5516
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
470553011 00
—
NE
Enumeration date
09/28/2006
Last updated
12/28/2023
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