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Individual

MRS. BRIANNA NICOLE KUSTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DNP

Contact information

Practice address
3351 SW 3RD ST, LEES SUMMIT, MO 64081-4006
(816) 966-1455
Mailing address
12808 KING ST, OVERLAND PARK, KS 66213-4415
(913) 748-9837

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2019028279
KS
363LF0000X
Family Nurse Practitioner
Primary
2019028279
MO

Other

Enumeration date
08/12/2019
Last updated
08/04/2021
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