Individual
MS. HEIDI B KUTTENKULER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
4401 WORNALL RD, KANSAS CITY, MO 64111-3220
(816) 932-0340
(816) 932-3148
Mailing address
901 E 104TH ST, KANSAS CITY, MO 64131-4517
(816) 502-8752
(816) 932-9670
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
05-29948
KS
207R00000X
Internal Medicine Physician
2002029298
MO
208M00000X
Hospitalist Physician
Primary
05-29948
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100447380C
—
KS
01
—
32019016
BCBS
—
01
—
510610
FIRST GUARD
—
Enumeration date
08/24/2005
Last updated
01/16/2017
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