Organization
BEACON PSYCHOLOGICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH AARON KUTNAR PSYD (MANAGING MEMBER)
(970) 629-1569
Entity
Organization
Contact information
Practice address
8310 ILEX DR, COLORADO SPRINGS, CO 80920-5794
(970) 629-1569
Mailing address
8310 ILEX DR, COLORADO SPRINGS, CO 80920-5794
(970) 629-1569
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
06/18/2026
Last updated
06/18/2026
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