Keti Kutidze, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MT230524 Issued in PA

Practice address

140 Nutt Rd
Phoenixville, PA 19460-3906

Phone

(610) 806-2137

NPI assigned

Jul 10, 2024

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1720569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1396582912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W SWEDESFORD RD",
            "city": "BERWYN",
            "state": "PA",
            "postal_code": "193121176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 NUTT RD",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194603906",
            "telephone_number": "610-806-2137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUTIDZE",
        "first_name": "KETI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-10",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MT230524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cody Kunze, PTA
• Kurtas Chiropractic, P.C.
• Karen Kurtas, D.C.
• Alyssa Kurtz, DO
• Joanna Stefania Kusmirek, MD
• Cynthia R Kuziak, PT
• Kacie Labik, PA-C
• Jacqueline Lacava, L.OM
• April Suzanne Ladavac, MD
• Nahas Lahcene

• Psychiatry Physician in Phoenixville, PA
• Providers in Phoenixville, PA by specialty
• Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; 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.