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Individual
DR. CONRAD KYLE MCCUTCHEON
Active
Individual
DR. CONRAD KYLE MCCUTCHEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
H4534
TX
207YS0012X
Sleep Medicine (Otolaryngology) Physician
H4534
TX
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
H4534
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8A2492
BLUE CROSS BLUE SHIELD
TX
Enumeration date
10/24/2006
Last updated
02/15/2022
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