Individual
CHARLES KUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
360 WASHINGTON AVR, KINGSTON, NY 12401-5144
(845) 338-7140
(845) 338-7141
Mailing address
360 WASHINGTON AVE, KINGSTON, NY 12401-3702
(845) 338-7140
(845) 338-7141
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
211804
NY
207RI0200X
Infectious Disease Physician
53630
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02361677
—
NY
Enumeration date
05/16/2006
Last updated
03/30/2020
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