Kortney Marie Cuddigan
Individual provider Active NPI Occupational Therapist · Overaland Park, KS
NPI 1205078151 · NPPES record last updated Mar 24, 2009
Key facts
- NPI
- 1205078151
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 1279 (NE)
- Practice address
- 10300 West 103Rd Street
Suite 300
Overaland Park, KS 66214 - Phone
- (913) 894-1910
- NPI assigned
- Mar 24, 2009
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1279 | NE | MD | Optometrist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 1279 | NE | Yes |
Addresses
Primary practice location
10300 West 103Rd Street
Suite 300
Overaland Park, KS 66214
Mailing address
15606 William Plaza #101
Omaha, NE 68130
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1279 | Other | NE | KORTNEY CUDDIGAN |
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 24, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.