Active NPI
Kathryn Kutas
- Other Technician
- Lake Odessa, MI
National Provider Identifier
1811348576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- License
- K 320 461 594 022
- Practice address
- 464 Pollard Dr
Lake Odessa, MI 48849-9317 - Phone
- (517) 881-1950
- NPI assigned
- Jun 23, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | K 320 461 594 022 | MI | Primary |
Addresses
Primary practice location
464 Pollard Dr
Lake Odessa, MI 48849-9317
Mailing address
464 Pollard Dr
Lake Odessa, MI 48849-9317
Phone (517) 881-1950
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| K 320 461 594 022 | MI | MD | Other Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466640000000",
"number": "1811348576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "464 POLLARD DR",
"city": "LAKE ODESSA",
"state": "MI",
"postal_code": "488499317",
"telephone_number": "517-881-1950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "464 POLLARD DR",
"city": "LAKE ODESSA",
"state": "MI",
"postal_code": "488499317",
"telephone_number": "517-881-1950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUTAS",
"first_name": "KATHRYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-23",
"last_updated": "2016-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "MI",
"license": "K 320 461 594 022",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Odessa, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.