Individual
DR. KESAVAN KUTTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5000 W CHAMBERS ST, ST. JOSEPH'S HOSPITAL, MILWAUKEE, WI 53210-1650
(414) 447-2245
(414) 874-4352
Mailing address
5000 W CHAMBERS ST, ST. JOSEPH'S HOSPITAL, MILWAUKEE, WI 53210-1650
(414) 447-2245
(414) 874-4352
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
21120
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002000123S
HUMANA
—
05
—
1942251780
—
WI
Enumeration date
05/15/2006
Last updated
03/01/2013
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