Individual
KRISTOPHER E KUSZAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2600 OTTAWA RD, NEODESHA, KS 66757-1897
(620) 325-2611
Mailing address
PO BOX 360, NEODESHA, KS 66757-0360
(620) 325-2622
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-02258
KS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/31/2019
Last updated
02/01/2021
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