Individual
KURT M. GUTKNECHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
75 VERMILLION DR, LEVITTOWN, PA 19054-1227
(215) 949-2292
(215) 945-5692
Mailing address
75 VERMILLION DR, LEVITTOWN, PA 19054-1227
(267) 261-1453
Taxonomy
Speciality
Code
Description
License number
State
111NR0200X
Radiology Chiropractor
Primary
D.C. 002928-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0023216000
BLUE CROSS/SHIELD
PA
01
—
D.C.-002928-L
STATE LICENSE
PA
Enumeration date
10/02/2006
Last updated
04/04/2024
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