Kutskill, Kevin Alan

Kutskill, Kevin Alan is an sole proprietor health care provider with primary practice located at 35054 23 Mile Rd 101, New Baltimore MI 48047-2019. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Kutskill, Kevin Alan can be contacted via phone (586) 725-2670.

Contact Information

Primary practice address
35054 23 Mile Rd 101 New Baltimore MI 48047-2019
Phone: (586) 725-2670
Fax: (586) 725-3347
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4301052707 Michigan

Profile Details

NPI number 1679689087
LBN Legal business name Kutskill, Kevin Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 21st, 2006
Last updated Jul 8th, 2007 - about 19 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679689087 NPPES
Michigan MEDICAID 2899472

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