Individual
JONATHAN KUTCHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
610 PURDUE MALL, WEST LAFAYETTE, IN 47907-2040
(814) 242-9399
Mailing address
370 ARSDALE AVE UNIT 28202, LEBANON, IN 46052-9894
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36004080A
IN
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/22/2021
Last updated
04/09/2026
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