person
Ms. Phyllis J Kutch, PA-C
Medical Physician Assistant in Mauldin, South Carolina
NPI 1821144304

Phyllis J Kutch is a Medical Physician Assistant based in Mauldin, SC and is specialized in Medical. Phyllis J Kutch practices in Mauldin, SC and has the professional credentials of PA-C. The NPI Number for Phyllis J Kutch is 1821144304 and holds a License No. PA1165 (South Carolina).

The current practice location address for Phyllis J Kutch is 11 Jenkins Street, Mauldin, SC and can be reached out via phone at 864-288-1941 and via fax at 864-288-1946.

Location: 11 Jenkins Street, Mauldin, SC, 29662-2412
person
Provider Profile Details
NPI Number
1821144304
Provider Name
Phyllis J Kutch
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
11 Jenkins Street, Mauldin, SC, 29662-2412
Phone Number
864-288-1941
Fax Number
864-288-1946
Provider Enumeration Date
01/26/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0506PA 05 SC
GP4225 01 SC MEDICAID GROUP NUMBER
8272 01 SC MEDICARE GROUP NUMBER
institution
Provider Business Practice Location Address Details
Address
11 Jenkins Street
City
State
Zip
29662-2412
Phone Number
864-288-1941
Fax Number
864-288-1946
person
Provider Business Mailing Address Details
Address
11 Jenkins Street
City
State
Zip
29662-2412
Phone Number
864-288-1941
Fax Number
864-288-1946
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA1165 (South Carolina)
Definition
Definition to come...
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