Individual provider · Type 1 NPI
Kim Custer
Medical-Surgical Registered Nurse · Kansas City, MO
NPI number
1518410596
Active
Practice location
4801 E Linwood Blvd
Kansas City, MO 64128-2226
Mailing address
3162 SW Gardenia St
Lees Summit, MO 64081-3874
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical-Surgical Registered Nurse Primary | 163WM0705X | 2012038032 (MO) |
Medical-Surgical Registered Nurse: Definition to come...
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About NPI 1518410596
Kim Custer's National Provider Identifier is 1518410596, issued on Jul 26, 2016. The primary taxonomy on file is Medical-Surgical Registered Nurse (163WM0705X), and the practice location is in Kansas City, MO. The record was last updated on Jul 26, 2016.