{"npi":"1790785004","type":"NPI-1","status":"active","name":{"display":"Keven Cutler MD","other":[],"first":"KEVEN","last":"CUTLER","middle":"ODELL","credential":"MD"},"specialty":{"primary_taxonomy":"207PP0204X","primary_taxonomy_description":"Pediatric Emergency Medicine (Emergency Medicine) Physician","slug":"pediatric-emergency-medicine-emergency-medicine-physician","schema_org_specialty":null,"all":[{"code":"207PP0204X","description":"Pediatric Emergency Medicine (Emergency Medicine) Physician","primary":false,"state":"IA","license":"36604"},{"code":"207PP0204X","description":"Pediatric Emergency Medicine (Emergency Medicine) Physician","primary":true,"state":"MO","license":"2015031842"}]},"addresses":[{"purpose":"LOCATION","street_1":"404 N KEENE ST","city":"COLUMBIA","state":"MO","postal_code":"652016626","country_code":"US","phone":"5738759400","fax":"5738741547"},{"purpose":"MAILING","street_1":"PO BOX 843966","city":"KANSAS CITY","state":"MO","postal_code":"641843966","country_code":"US","phone":"5738843300","fax":"5738840943"}],"license":{"state":"MO","number":"2015031842"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"200026023","state":"MO","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20151104000175","type_code":"14-93","type_desc":"PRACTITIONER - EMERGENCY MEDICINE","state":"MO","pac_id":"0244123701"}]},"enumeration_date":"2005-07-28","last_updated":"2022-10-05","_meta":{"source":"NPPES","snapshot_date":"2022-10-05","doc_url":"https://findmynpi.com/api"}}