Kenneth John Kutalek in Evergreen - Pediatrics
Kenneth John Kutalek - NPI 1346394152
Kenneth John Kutalek is a Pediatrics in Evergreen, Colorado. Kenneth John Kutalek practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Kenneth John Kutalek is 1346394152. The last update date is 2007-07-08.
Kenneth John Kutalek's current location address is 30960 Stagecoach Blvd, Evergreen, Colorado. You can contact this provider via phone number 3036746671 and fax number 3036740031. The mailing address for Kenneth John Kutalek is 30960 Stagecoach Blvd, Evergreen, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth John Kutalek |
|---|---|
| Address | 30960 Stagecoach Blvd, Evergreen, Colorado |
| Phone Number | 3036746671 |
| Fax Number | 3036740031 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1346394152 |
|---|---|
| Provider Enumeration Date | 2007-01-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 30960 Stagecoach Blvd |
|---|---|
| City | Evergreen |
| State | Colorado (CO) |
| Post Code | 804397902 |
| Phone Number | 3036746671 |
| Fax Number | 3036740031 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 26133 |
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Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1261338 | CO | -- |
Post Comment/ Review Below
What is the Kenneth John Kutalek's 1346394152?
The Kenneth John Kutalek's NPI (National Provider Identifier) Number is 1346394152. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Kenneth John Kutalek is physically located?
The Kenneth John Kutalek is physically situated at the following address: 30960 Stagecoach Blvd, Evergreen, CO, 804397902.
What is the area of specialization for Kenneth John Kutalek, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Kenneth John Kutalek is Pediatrics, and the corresponding taxonomy code that categorizes this area of expertise is 208000000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1346394152 to Kenneth John Kutalek?
The Centers for Medicare & Medicaid Services assigned the 1346394152 to Kenneth John Kutalek on 2007-01-22.
When was the information regarding Kenneth John Kutalek most recently updated?
The details pertaining to the Kenneth John Kutalek, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
NPI Number: 1982607495
Address: 12623 E 86th St, Indianapolis, IN