Individual
KATHRYN KUTAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
464 POLLARD DR, LAKE ODESSA, MI 48849-9317
(517) 881-1950
Mailing address
464 POLLARD DR, LAKE ODESSA, MI 48849-9317
(517) 881-1950
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
K 320 461 594 022
MI
Other
Enumeration date
06/23/2016
Last updated
06/23/2016
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