Individual
KENNETH JUTZY
Active
Individual
KENNETH JUTZY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
G37876
CA
207RI0011X
Interventional Cardiology Physician
Primary
G37876
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G378760
—
CA
Enumeration date
07/18/2006
Last updated
04/12/2010
Update your record
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