Provider Demographics
NPI:1528120243
Name:KUSSMANN, BARBARA ANN (OTR/L; CLT)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:ANN
Last Name:KUSSMANN
Suffix:
Gender:F
Credentials:OTR/L; CLT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17692 W 156TH ST
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66062-6755
Mailing Address - Country:US
Mailing Address - Phone:913-782-8272
Mailing Address - Fax:
Practice Address - Street 1:17692 W 156TH ST
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66062-6755
Practice Address - Country:US
Practice Address - Phone:913-782-8272
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-16
Last Update Date:2012-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS17-02081310400000X, 314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility