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Individual
DR. KURTIS KIADUM SUTEH KPAJOH
Active
Individual
DR. KURTIS KIADUM SUTEH KPAJOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMSC, PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
013091
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03047683
—
NY
01
—
J400089155
MEDICARE PTAN
NY
Enumeration date
07/10/2008
Last updated
11/20/2024
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