Individual
DR. DAVID A KUTLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
15700 STATE ROUTE 170, SUITE B, EAST LIVERPOOL, OH 43920-9657
(330) 385-2227
(330) 385-4242
Mailing address
15700 STATE ROUTE 170, SUITE B, EAST LIVERPOOL, OH 43920-9657
(330) 385-2227
(330) 385-4242
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
OH-36-00-1819-K
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0360961
—
OH
Enumeration date
07/12/2005
Last updated
07/21/2011
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