Kutsch, Stacey R

Kutsch, Stacey R is an individual health care provider with primary practice located at 7501 W Deschutes Pl , Kennewick WA 99336-7719. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Kutsch, Stacey R can be contacted via phone (509) 783-1960.

Contact Information

Primary practice address
7501 W Deschutes Pl Kennewick WA 99336-7719
Phone: (509) 783-1960
Fax: (509) 783-7576
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X DE00010428 Washington

Profile Details

NPI number 1285723296
LBN Legal business name Kutsch, Stacey R
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2006
Last updated Mar 7th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1285723296 NPPES
Washington MEDICAID 5050265
Washington Other CS10000430
Washington MEDICAID 5036876

Popular Providers