Individual
DR. JOLENE N KUTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
6634 E ASTER DR, SCOTTSDALE, AZ 85254
(480) 945-7800
(480) 945-7805
Mailing address
6634 E ASTER DR, SCOTTSDALE, AZ 85254
(480) 945-7800
(480) 945-7805
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
7653
AZ
111NI0900X
Internist Chiropractor
7653
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
751810
—
AZ
01
—
Z112345
GROUP PIN
AZ
01
—
Z112346
MEDICARE ID-PIN
AZ
Enumeration date
06/03/2006
Last updated
08/11/2015
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