KEVEN ODELL CUTLER MD NPI 1790785004

NPI Information

NPI: 1790785004
Provider Name: KEVEN ODELL CUTLER, MD
Classification: Emergency Medicine - 207PP0204X
Entity Type: Individual

Specialization: Pediatric Emergency Medicine

Organization: THE CURATORS OF THE UNIVERSITY OF MISSOURI

PECOS Registration: Yes

Address:
404 N KEENE ST
COLUMBIA, MO
ZIP 65201
Phone: (573) 875-9400
Get Directions

Keven Odell Cutler, MD is a pediatric emergency medicine emergency medicine in Columbia, MO with 24 years of experience. The provider is pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department. Keven Odell Cutler, MD NPI is 1790785004. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

404 N KEENE ST
COLUMBIA, MO
ZIP 65201-626
Phone: (573) 875-9400
Fax: (573) 874-1547

The NPI 1790785004 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/28/2005 and was last updated on 8/12/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207PP0204X	Emergency Medicine	Pediatric Emergency Medicine	2015031842	MISSOURI	Yes
2	207PP0204X	Emergency Medicine	Pediatric Emergency Medicine	36604	IOWA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	200026023	MEDICAID	MISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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