Individual
MICHAEL F KUTKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
21 HIGHLAND AVE, SUITE3-4A, NEWBURYPORT, MA 01950-3872
(978) 462-8300
(978) 462-8301
Mailing address
21 HIGHLAND AVE, SUITE3-4A, NEWBURYPORT, MA 01950-3872
(978) 462-8300
(978) 462-8301
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
217914
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2019655
—
MA
01
—
A35976
BLUE SHIELD
MA
Enumeration date
07/07/2005
Last updated
03/12/2008
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