Individual
ERIC JOHN KUTAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
4531 NORTHWAY RD, WILLIAMSPORT, PA 17701-8494
(570) 435-2570
Mailing address
4531 NORTHWAY RD, WILLIAMSPORT, PA 17701-8494
(570) 435-2570
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
RN597353
PA
Other
Enumeration date
05/10/2017
Last updated
05/10/2017
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