Individual
ALEX RICHARD KUTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4600 VALLEY RD STE 200, LINCOLN, NE 68510-4882
(402) 483-4571
Mailing address
8605 DUNROVIN RD, LINCOLN, NE 68526-6068
(402) 276-2471
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2369
NE
363A00000X
Physician Assistant
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/26/2019
Last updated
08/03/2022
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