Provider Demographics
NPI:1306815873
Name:KUJATH, SCOTT W (MD)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:W
Last Name:KUJATH
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Gender:M
Credentials:MD
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Mailing Address - Street 1:2750 CLAY EDWARDS DR
Mailing Address - Street 2:SUITE 304
Mailing Address - City:NORTH KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64116-3237
Mailing Address - Country:US
Mailing Address - Phone:816-842-5555
Mailing Address - Fax:816-842-8888
Practice Address - Street 1:2750 CLAY EDWARDS DR
Practice Address - Street 2:SUITE 304
Practice Address - City:NORTH KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64116-3237
Practice Address - Country:US
Practice Address - Phone:816-842-5555
Practice Address - Fax:816-842-8888
Is Sole Proprietor?:No
Enumeration Date:2006-03-16
Last Update Date:2018-03-17
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Provider Licenses
StateLicense IDTaxonomies
MO1083902086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOH39591Medicare UPIN