<Unavail>

LBN: Mark R Kutyla Dpm Pa
<Unavail> is an health care organization with primary practice located at 121 Park Place Ct , Lexington SC 29072-6690. The organization recently has 8 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Radiology, Podiatric Medicine & Surgery Service Providers / Sports Medicine, Podiatric Medicine & Surgery Service Providers / Foot Surgery, Technologists, Technicians & Other Technical Service Providers / Magnetic Resonance Imaging, Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Customized Equipment, Suppliers / Prosthetic/Orthotic Supplier. Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine is the primary health care specialty. Mark R Kutyla Dpm Pa can be contacted via phone (803) 356-4712, or through Kutyla, Mark R via phone (803) 356-4712.

Contact Information

Primary practice address
121 Park Place Ct Lexington SC 29072-6690
Phone: (803) 356-4712
Fax: (803) 356-0832
Website:
Map and Directions
Authorized official contact:
Name: Kutyla, Mark R Doctor of Podiatric Medicine (DPM)
Phone: (803) 356-4712

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 516 South Carolina
Podiatric Medicine & Surgery Service Providers / Radiology 213ER0200X 516 South Carolina
Podiatric Medicine & Surgery Service Providers / Sports Medicine 213ES0000X 516 South Carolina
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 516 South Carolina
Technologists, Technicians & Other Technical Service Providers / Magnetic Resonance Imaging 2471M1202X 516 South Carolina
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 516 South Carolina
Suppliers / Customized Equipment 332BC3200X 516 South Carolina
Suppliers / Prosthetic/Orthotic Supplier 335E00000X 516 South Carolina

Profile Details

NPI number 1720032816
LBN Legal business name Mark R Kutyla Dpm Pa
DBA Doing business as <Unavail>
Authorized official Kutyla, Mark R Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 Yes
Enumeration date May 22nd, 2006
Last updated Nov 6th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720032816 NPPES
South Carolina Other 7238051 AETNA PROVIDER NO.
South Carolina Other 1020003 AETNA PROVIDER NO.
South Carolina Other 42D2021725 AETNA PROVIDER NO.

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