De Ann K Kutzner, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

DK054497 Issued in MI

Practice address

2690 S Cleveland Ave
Saint Joseph, MI 49085-3002

Phone

(269) 428-2800

Fax

(269) 428-7177

NPI assigned

May 16, 2006

Last updated

Feb 18, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Radiology Associates of Berrien County PC

  • Diagnostic Radiology Physician
  • Saint Joseph, MI
  • NPI 1538194923
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297987200000",
    "number": "1164474524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2690 S CLEVELAND AVE",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490853002",
            "telephone_number": "269-428-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2690 S CLEVELAND AVE",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490853002",
            "telephone_number": "269-428-2800",
            "fax_number": "269-428-7177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUTZNER",
        "first_name": "DE ANN",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2011-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "DK054497",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102779080",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Traci Kuhn, LIFESTYLE COACH
• Jerome L Kuhnlein, M.D.
• Rebecca Kundan, NP
• Michelle Yumi Kuramochi, OTR/L
• Mark A Kuriata, D.O.
• Ingrid Kwak, FNP
• Katherine Westin Kwon, M.D.
• Kyle L. Vonk DDS P.C.
• Samantha Labay, D.O.
• Lake House Counseling PLLC

• Obstetrics & Gynecology Physician in Saint Joseph, MI
• Providers in Saint Joseph, MI by specialty
• Obstetrics & Gynecology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.