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Individual

AHMED C.K. KUTTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3015 AVE A, KEARNEY, NE 68847-3525
(308) 865-7271
(308) 865-2045
Mailing address
3015 AVENUE A, KEARNEY, NE 68847-3525
(308) 865-7271
(308) 865-2045

Taxonomy

Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
18789
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
06190
BCBS NE PROVIDER NUMBER
NE
05
47080450613
NE
01
774148
BCBS KS PROVIDER NUMBER
KS
Enumeration date
08/10/2006
Last updated
07/09/2007
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