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Individual

ROGER N. ZUTTERLING JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APRN

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3010566
KY
363L00000X
Nurse Practitioner
Primary
COA-13802-NP
OH
363LF0000X
Family Nurse Practitioner
CNP13802
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100221390
KY
Enumeration date
08/09/2012
Last updated
11/24/2021
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