Individual
CYNTHIA KUTTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
142 PARKS HALL, ATHENS, OH 45701
(740) 593-2482
(740) 593-0036
Mailing address
142 PARKS HALL, ATHENS, OH 45701
(740) 593-2482
(740) 593-0036
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
35098575
OH
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
D47451
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
119C
BLUE SHIELD LOCAL
MD
01
—
53543405
BLUE SHIELD REGIONAL
MD
Enumeration date
08/13/2006
Last updated
12/16/2013
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