Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | 94-07000 | KS |
N | 207X00000X | Orthopaedic Surgeon | 94-07000 | KS |
NPI | 1013170240 |
---|---|
Provider Name | Sarah Clutter |
First Address | Kansas City, KS 66160-0001 |
Second Address | Kansas City, KS 66103-2937 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/07/2008 |
Last Update Date | 01/07/2010 |