Individual
AMANDA KUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 726-2000
Mailing address
881 E 2ND ST UNIT 16, BOSTON, MA 02127-2469
(781) 985-4703
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN284116
MA
363LF0000X
Family Nurse Practitioner
Primary
RN284116
MA
Other
Enumeration date
10/20/2015
Last updated
10/17/2020
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