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Individual

DR. AHMAD M KUTKUT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S., MS.

Contact information

Practice address
800 ROSE ST, LEXINGTON, KY 40536-0001
(859) 323-5996
Mailing address
800 ROSE ST RM D104, UNIVERSITY OF KENTUCKY COLLEGE OF DENTISTRY, LEXINGTON, KY 40536-0297
(859) 323-5831

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
9124
KY
1223P0700X
Prosthodontics
Primary
9124
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100179370
KY
Enumeration date
09/21/2011
Last updated
01/20/2015
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