Individual
DR. MATTHEW EMERY KUTCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2500 NORTH STATE STREET, JACKSON, MS 39216-4500
(601) 984-5452
(601) 815-3322
Mailing address
2500 NORTH STATE STREET, JACKSON, MS 39216-4500
(601) 984-5452
(601) 815-3322
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD454907
PA
2086S0127X
Trauma Surgery Physician
Primary
24484
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07331276
—
MS
01
—
P01815329
RAILROAD MEDICARE
MS
Enumeration date
03/28/2009
Last updated
04/28/2017
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