Individual
MRS. VICKIE L KUTZLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SA-C
Contact information
Practice address
10400 75 TH STREET, KENOSHA, WI 53142-7884
(262) 948-6866
Mailing address
2901 43RD AVE, KENOSHA, WI 53144-1576
(262) 694-9392
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
12/19/2010
Last updated
09/12/2011
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