Individual
KENT MCCUISTION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5104 NE 50TH ST, EL DORADO, KS 67042-0729
(316) 992-3833
Mailing address
5104 NE 50TH ST, EL DORADO, KS 67042-0729
(316) 992-3833
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/08/2014
Last updated
08/08/2014
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