Individual provider · Type 1 NPI
Phyllis J. Kutch, PA-C
Medical Physician Assistant · Mauldin, SC
NPI number
1821144304
Active
Practice location
11 Jenkins Street
Mauldin, SC 29662-2412
Fax (864) 288-1946
Mailing address
11 Jenkins St
Mauldin, SC 29662-2412
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA1165 (SC) |
Medical Physician Assistant: Definition to come...
Other medical physician assistant providers in Mauldin
About NPI 1821144304
Phyllis J. Kutch, PA-C's National Provider Identifier is 1821144304, issued on Jan 26, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Mauldin, SC. The record was last updated on Dec 6, 2007.