Individual
KIM CUSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4801 E LINWOOD BLVD, KANSAS CITY, MO 64128-2226
(816) 861-4700
Mailing address
3162 SW GARDENIA ST, LEES SUMMIT, MO 64081-3874
(913) 449-1299
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
2012038032
MO
Other
Enumeration date
07/26/2016
Last updated
07/26/2016
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