Individual
JOSEPH MANCUSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3901 RAINBOW BLVD # MS 2027, KANSAS CITY, KS 66160-8500
(913) 588-3974
(913) 588-6055
Mailing address
3901 RAINBOW BLVD # MS 2027, KANSAS CITY, KS 66160-8500
(913) 588-3974
(913) 588-6055
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
2025011416
MO
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/29/2021
Last updated
03/21/2026
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