Individual
MS. DEBORAH LEAH KUTZKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
111 COLCHESTER AVE, EAST PAVILLION 5, BURLINGTON, VT 05401-1473
(802) 847-4594
Mailing address
60 HOOVER ST, BURLINGTON, VT 05401-4110
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
101-0013820
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1004474
—
VT
Enumeration date
09/06/2006
Last updated
07/08/2007
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