Individual
KEVIN ALAN KUTSKILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
35054 23 MILE RD, 101, NEW BALTIMORE, MI 48047-2019
(586) 725-2670
(586) 725-3347
Mailing address
35054 23 MILE RD, 101, NEW BALTIMORE, MI 48047-2019
(586) 725-2670
(586) 725-3347
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301052707
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2899472
—
MI
Enumeration date
08/21/2006
Last updated
07/08/2007
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