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KEVIN RICHARD GUTERMUTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1906 BELLEVIEW AVE SE, ROANOKE, VA 24014-1838
(540) 981-7000
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
(540) 224-5353

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101280620
VA
208000000X
Pediatrics Physician
MD.37678
AL
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
MD.37678
AL

Other

Enumeration date
04/03/2017
Last updated
07/25/2024
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