MEDICARE: ROBERT KUTCH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	20061	CO
2	183500000X	Pharmacist	28RI01695300	NJ

General Provider Information

NPI Number	:	1467858241
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT KUTCH

Provider Business Mailing Address
First Line	:	3764 RALEIGH ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80212-1938
Country	:	US
Telephone Number	:	720-476-8842
Fax Number	:

Provider Business Practice Location Address
First Line	:	3764 RALEIGH ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80212-1938
Country	:	US
Telephone Number	:	720-476-8842
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/06/2014
Last Update Date	:	11/06/2014

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Directions to “ ROBERT KUTCH ” Practice Location

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