Individual
DR. CORY ALLEN KUTLICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1675 E MAIN ST, BOX 328, KENT, OH 44240-5818
(330) 593-1049
(330) 572-3836
Mailing address
1675 E MAIN ST, BOX 328, KENT, OH 44240-5818
(330) 593-1049
(330) 572-3836
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
34.010220
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0051702
—
OH
Enumeration date
07/11/2008
Last updated
08/29/2016
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