Richard Kevin Mcnutt in Green Bay - Vascular Surgery

Richard Kevin Mcnutt - NPI 1215014279

Richard Kevin Mcnutt is a Vascular Surgery in Green Bay, Wisconsin. Richard Kevin Mcnutt practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for Richard Kevin Mcnutt is 1215014279. The last update date is 2013-02-26.

Richard Kevin Mcnutt's current location address is Po Box 13508, Green Bay, Wisconsin. You can contact this provider via phone number 9209657411 and fax number 9209657412. The mailing address for Richard Kevin Mcnutt is Po Box 13508, Green Bay, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Richard Kevin Mcnutt
Address Po Box 13508, Green Bay, Wisconsin
Phone Number 9209657411
Fax Number 9209657412
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1215014279
Provider Enumeration Date 2006-11-01
Last Updated Date 2013-02-26

Provider Mailing Address Detail

Address Po Box 13508
City Green Bay
State Wisconsin (WI)
Post Code 543073508
Phone Number 9209657411
Fax Number 9209657412

Provider's Primary Taxonomy Detail

Speciality Vascular Surgery
Taxonomy 2086S0129X
Licence No 27731
Definition:
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
31707700 WI --

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FAQs about Richard Kevin Mcnutt

What is the unique 10-digit identification code issued to Richard Kevin Mcnutt by the Centers for Medicare & Medicaid Services?

The Richard Kevin Mcnutt has been assigned the NPI (National Provider Identifier) 1215014279 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you share the physical location details of Richard Kevin Mcnutt?

The Richard Kevin Mcnutt is situated at Po Box 13508, in the city of Green Bay, state of WI, with the zip code 543073508.

What is Richard Kevin Mcnutt's specialized field of practice, and what is the corresponding taxonomy classification code?

The Richard Kevin Mcnutt's area of specialization is Vascular Surgery, and the corresponding taxonomy code that categorizes this field of practice is 2086S0129X.

On what date did the Richard Kevin Mcnutt receive its 1215014279 assignment from the Centers for Medicare & Medicaid Services?

The Richard Kevin Mcnutt was assigned its 1215014279 by the Centers for Medicare & Medicaid Services on 2006-11-01.

As of what date was the information pertaining to Richard Kevin Mcnutt, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Richard Kevin Mcnutt, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2013-02-26.

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