Individual
DR. KATHLEEN B STUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
520 S 7TH ST, VINCENNES, IN 47591-1038
(812) 882-5220
(812) 885-3769
Mailing address
520 S 7TH ST, VINCENNES, IN 47591-1038
(812) 885-3770
(812) 885-3769
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
R2F43
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200943340
—
IN
05
—
208211813
—
MO
Enumeration date
11/07/2006
Last updated
04/17/2019
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