Individual
KHEDER KUTMAH
Active
Individual
KHEDER KUTMAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35543
KY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
35543
KY
207RP1001X
Pulmonary Disease Physician
Primary
35543
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64030786
—
KY
Enumeration date
08/12/2006
Last updated
04/24/2012
Update your record
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