Individual
ANTONIO LAMONT CUTHBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
16538 W 159TH TER, OLATHE, KS 66062-3924
(913) 355-8660
Mailing address
16538 W 159TH TER, OLATHE, KS 66062-3924
(913) 355-8660
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
53-81845-072
KS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
53-81845-072
KS
Other
Enumeration date
01/17/2023
Last updated
10/01/2024
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