Individual provider · Type 1 NPI

Kathryn Michelle Putnam Rezac, PA

Medical Physician Assistant · Lees Summit, MO

NPI number 1588746366 Active

Practice location

2100 SE Blue Pkwy
Lees Summit, MO 64063-1007

Mailing address

18167 US Highway 19 N, Suite 650
Clearwater, FL 33764-3528

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X2005001379 (MO)
Medical Physician Assistant 363AM0700X1500996 (KS)

Medical Physician Assistant: Definition to come...

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About NPI 1588746366

Kathryn Michelle Putnam Rezac, PA's National Provider Identifier is 1588746366, issued on Oct 20, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Lees Summit, MO. The record was last updated on Jun 29, 2015.