Vickie L Kutzler, SA-C

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

Practice address

10400 75 TH Street
Kenosha, WI 53142-7884

Phone

(262) 948-6866

NPI assigned

Dec 19, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1292716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315785600000",
    "number": "1235432931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 43RD AVE",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531441576",
            "telephone_number": "262-694-9392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10400 75 TH STREET",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531427884",
            "telephone_number": "262-948-6866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUTZLER",
        "first_name": "VICKIE",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "SA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-19",
        "last_updated": "2011-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Ann Kubis, SLP- CFY
• Angela J Kuffel, LPC
• Mukesh Kumar, MD
• Saritha Kundoor, M.D
• Erika M Kurzac, DPT
• L & M Transport LLC
• L Carr and Company
• Alexandre Lacrosse
• Anne R Lakayil, DDS
• Lakeshore Pain and Spine Center LLC

• Surgical Assistant in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Surgical Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.