Provider Demographics
NPI:1144566530
Name:KUSS, JAMIE TRAUT (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JAMIE
Middle Name:TRAUT
Last Name:KUSS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:JAMIE
Other - Middle Name:LEA
Other - Last Name:TRAUT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:11131 W 79TH ST
Mailing Address - Street 2:
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66214-1482
Mailing Address - Country:US
Mailing Address - Phone:913-234-4664
Mailing Address - Fax:913-234-4665
Practice Address - Street 1:11131 W 79TH ST
Practice Address - Street 2:
Practice Address - City:LENEXA
Practice Address - State:KS
Practice Address - Zip Code:66214-1482
Practice Address - Country:US
Practice Address - Phone:913-234-4664
Practice Address - Fax:913-234-4665
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-12
Last Update Date:2019-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2011023093183500000X
NE13672183500000X
KS1-16341183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist