Individual
CARNIE C. NULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2330 SHAWNEE MISSION PKWY, SUITE 2201, WESTWOOD, KS 66205-2005
(913) 588-9800
(913) 588-9803
Mailing address
2330 SHAWNEE MISSION PKWY, SUITE 2201, WESTWOOD, KS 66205-2005
(913) 588-9800
(913) 588-9803
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
04-25135
KS
207R00000X
Internal Medicine Physician
R6H89
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
204894505
—
MO
01
—
38419014
BCBS
—
01
—
P00407389
RR MEDICARE PIN
KS
Enumeration date
07/14/2006
Last updated
08/15/2011
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