Organization
KENT SUTTERER DO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENT STEPHEN SUTTERER DO (DOCTOR OF OSTEOPATHY)
(417) 627-9600
Entity
Organization
Contact information
Practice address
2700 MC CLELLAND BLVD, BUILDING B SUITE 209, JOPLIN, MO 64804-1623
(417) 627-9600
(417) 627-9632
Mailing address
2700 MC CLELLAND BLVD, BUILDING B SUITE 209, JOPLIN, MO 64804-1623
(417) 627-9600
(417) 627-9632
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2002015981
MO
Other
Enumeration date
09/15/2006
Last updated
08/22/2020
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