Lutz, Kathi A
Lutz, Kathi A is an individual health care provider with primary practice located at 1605 E Broadway Ste 300 , Columbia MO 65201-8023. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Lutz, Kathi A can be contacted via phone (573) 256-7700.Contact Information
Primary practice address
1605 E Broadway Ste 300
Columbia MO 65201-8023
Phone: (573) 256-7700
Fax: (573) 256-3003
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 093278 | Missouri |
Profile Details
| NPI number | 1861461071 |
|---|---|
| LBN Legal business name | Lutz, Kathi A |
| Credentials | RN, FNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 17th, 2006 |
| Last updated | Mar 19th, 2021 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861461071 | NPPES |
| Missouri | MEDICAID | 423927805 |
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