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Individual
KORY SUTTER
Active
Individual
KORY SUTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA AA
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
004888
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
460363393A
—
GA
01
—
P00353078
RAILROAD MEDICARE
—
Enumeration date
10/02/2006
Last updated
09/29/2026
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