Healthcare Provider Details

I. General information

NPI: 1508231788
Provider Name (Legal Business Name): VICTOR V KUTSAR DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/14/2015
Last Update Date: 07/11/2026
Certification Date: 07/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

124 CUNNINGHAM PKWY STE 203
BELTON MO
64012-2163
US

IV. Provider business mailing address

204 E MAPLEWOOD LN
RAYMORE MO
64083-8732
US

V. Phone/Fax

Practice location:
  • Phone: 816-744-1332
  • Fax:
Mailing address:
  • Phone: 816-744-1332
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2023049802
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number6238
License Number StateOR
# 3
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number21766
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: