Individual
KELVIN KUTWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1410 MARSHALL ST, REDWOOD CITY, CA 94063-2503
(650) 393-8960
Mailing address
1410 MARSHALL ST, REDWOOD CITY, CA 94063-2503
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
41818
CA
Other
Enumeration date
11/28/2023
Last updated
11/28/2023
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