Individual
SUSAN KAYLEEN KUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1635 N GEORGE MASON DR, STE 310, ARLINGTON, VA 22205-3616
(703) 810-5215
(703) 810-5428
Mailing address
PO BOX 71230, PHILADELPHIA, PA 19176-6230
(703) 383-6469
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110004104
VA
Other
Enumeration date
09/27/2010
Last updated
08/26/2013
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