Individual
RUSSELL KUTZELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7613 LITTLE RD, SUITE 200D, NEW PORT RICHEY, FL 34654-5525
(727) 494-7609
(727) 645-6997
Mailing address
7613 LITTLE RD, SUITE 200D, NEW PORT RICHEY, FL 34654-5525
(727) 494-7609
(727) 645-6997
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/14/2015
Last updated
08/14/2015
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