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Individual

CHARLES KUTINA

Active
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Individual

CHARLES KUTINA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
35043393K
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0119204
GROUP MEDICAID
—
05
—
0416437
—
OH
01
—
10794581
CAQH
—
01
—
120187
KAISER
—
01
—
1780634279
GROUP NPI
—
01
—
3610861
GROUP ASC MEDICARE
—
01
—
9273172
GROUP MEDICARE
—
01
—
CA4511
RR MEDICARE GROUP
—
01
—
D368301
GROUP IND DIAGNOSTICS MED
—
01
—
P00069300
RR MEDICARE INDIVIDUAL
—
Enumeration date
03/07/2006
Last updated
07/17/2017
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