Justesen, Anthony Ray

Justesen, Anthony Ray is an individual health care provider with primary practice located at 20805 W 151St St Suite 200, Olathe KS 66061-7249. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Justesen, Anthony Ray can be contacted via phone (913) 324-8571.

Contact Information

Primary practice address
20805 W 151St St Suite 200 Olathe KS 66061-7249
Phone: (913) 324-8571
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 04-28962 Kansas
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine 2083P0011X 04-28962 Kansas

Profile Details

NPI number 1639122302
LBN Legal business name Justesen, Anthony Ray
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Jan 4th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639122302 NPPES
Kansas MEDICAID 100384140A

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