Healthcare Provider Details

I. General information

NPI: 1689598757
Provider Name (Legal Business Name): MICHAEL KUTNER NREMT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

206 N WASHINGTON ST STE 300
ALEXANDRIA VA
22314-2528
US

IV. Provider business mailing address

206 N WASHINGTON ST STE 300
ALEXANDRIA VA
22314-2528
US

V. Phone/Fax

Practice location:
  • Phone: 617-697-2744
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code146N00000X
TaxonomyBasic Emergency Medical Technician
License NumberB202103682
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: