Individual
KENNETH K CICUTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1024 S LEMAY AVE, FORT COLLINS, CO 80524-3929
(970) 495-8600
(970) 495-7619
Mailing address
2008 CARIBOU DR, FORT COLLINS, CO 80525-4325
(970) 484-4757
(970) 484-4759
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
10087A
WY
2085R0204X
Vascular & Interventional Radiology Physician
28428
NE
2085R0204X
Vascular & Interventional Radiology Physician
Primary
DR.0054865
CO
Other
Enumeration date
05/08/2009
Last updated
03/23/2022
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