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NPI Code Detail

MEDICARE: ROBERT A KUTNER PSYD AND ASSOCIATES PA

MEDICARE: ROBERT A KUTNER PSYD AND ASSOCIATES PA
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
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1578110961
Entity Type Code : Organization
Provider Name (Legal Business Name) : ROBERT A KUTNER PSYD AND ASSOCIATES PA
Provider Business Mailing Address
First Line : 3890 W ANN RD
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89031-4416
Country : US
Telephone Number : 213-222-8197
Fax Number : 702-974-0821
Provider Business Practice Location Address
First Line : 3890 W ANN RD
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89031-4416
Country : US
Telephone Number : 213-222-8197
Fax Number : 702-974-0821
Authorized Official
Title or Position : OWNER
Name : DR. ROBERT ALAN KUTNER
Credential : PSY.D.
Telephone Number : 213-222-9197
Provider Enumeration Date : 08/21/2019
Last Update Date : 08/28/2019

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