Mark R Kutyla Dpm Pa in Lexington - Primary Podiatric Medicine
Mark R Kutyla Dpm Pa - NPI 1720032816
Mark R Kutyla Dpm Pa is a Primary Podiatric Medicine in Lexington, South Carolina. Mark R Kutyla Dpm Pa practices all healthcare services and medical treatments related to Primary Podiatric Medicine. The NPI Number for Mark R Kutyla Dpm Pa is 1720032816. The last update date is 2011-11-06.
Mark R Kutyla Dpm Pa's current location address is 121 Park Place Ct, Lexington, South Carolina. You can contact this provider via phone number 8033564712 and fax number 8033560832. The mailing address for Mark R Kutyla Dpm Pa is 121 Park Place Ct, Lexington, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mark R Kutyla Dpm Pa |
|---|---|
| Address | 121 Park Place Ct, Lexington, South Carolina |
| Phone Number | 8033564712 |
| Fax Number | 8033560832 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Kutyla R Mark |
| Credentials | D.P.M. |
| Telephone Number | 8033564712 |
NPI Number Detail
| NPI Number | 1720032816 |
|---|---|
| Provider Enumeration Date | 2006-05-22 |
| Last Updated Date | 2011-11-06 |
Provider Mailing Address Detail
| Address | 121 Park Place Ct |
|---|---|
| City | Lexington |
| State | South Carolina (SC) |
| Post Code | 290726690 |
| Phone Number | 8033564712 |
| Fax Number | 8033560832 |
Provider's Primary Taxonomy Detail
| Speciality | Primary Podiatric Medicine |
|---|---|
| Taxonomy | 213Ep1101X |
| Licence No | 516 |
|
Definition: A doctor of podiatric medicine expert in general podiatry health services related to medical diagnoses and treatment of the foot, ankle and lower extremities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7238051 | SC | AETNA PROVIDER NO. | |
| 1020003 | SC | ACM # MIDLANDS FOOT CL. | |
| 42D2021725 | SC | CLIA CERTIFICATE OF WAIVER |
Post Comment/ Review Below
What is the unique identification code assigned to Mark R Kutyla Dpm Pa by the Centers for Medicare & Medicaid Services?
The Mark R Kutyla Dpm Pa has been issued the NPI (National Provider Identifier) 1720032816. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Mark R Kutyla Dpm Pa located?
The Mark R Kutyla Dpm Pa is located at 121 Park Place Ct, Lexington, SC 290726690.
What is Mark R Kutyla Dpm Pa's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Mark R Kutyla Dpm Pa is Primary Podiatric Medicine, and the corresponding taxonomy classification code for this specialized field is 213Ep1101X.
On what date did the Centers for Medicare & Medicaid Services assign the 1720032816 to Mark R Kutyla Dpm Pa?
The Centers for Medicare & Medicaid Services assigned the 1720032816 to Mark R Kutyla Dpm Pa on 2006-05-22.
When was the information pertaining to Mark R Kutyla Dpm Pa most recently updated or revised?
The details related to Mark R Kutyla Dpm Pa, including its address, specialty, and other relevant information, were last updated or revised on 2011-11-06.
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