Individual
DR. WALID MICHAEL KUTAYLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 S 48TH ST, SUITE 600, LINCOLN, NE 68506-1283
(402) 483-3333
(402) 483-3297
Mailing address
1600 S 48TH ST, SUITE 600, LINCOLN, NE 68506-1283
(402) 483-3333
(402) 483-3297
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
229363
NE
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
22837
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22837
PHYSICIAN LICENSE
NE
05
—
47084496100
—
NE
Enumeration date
10/18/2006
Last updated
11/11/2011
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