Individual
JACOB M CUSHING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4000 CAMBRIDGE ST, KANSAS CITY, KS 66160-8500
(913) 588-1227
Mailing address
18840 W 153RD CT UNIT 303, OLATHE, KS 66062-3222
(913) 742-9134
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
04-51125
KS
208M00000X
Hospitalist Physician
Primary
04-51125
KS
Other
Enumeration date
04/12/2022
Last updated
06/19/2025
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