Individual
KYLE D. KUTSCHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3443 FARR RD, FRUITPORT, MI 49415-8779
(231) 672-2900
(231) 672-2901
Mailing address
3443 FARR RD, FRUITPORT, MI 49415-8779
(231) 672-2900
(231) 672-2901
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
27602
NE
207QS0010X
Sports Medicine (Family Medicine) Physician
0101264969
VA
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
4301506248
MI
Other
Enumeration date
06/13/2012
Last updated
02/07/2024
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