Cutshall, Kenneth E.

Cutshall, Kenneth E. is an individual health care provider with primary practice located at 2 Professional Park Dr Ste 11 , Johnson City TN 37604-6584. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Cutshall, Kenneth E. can be contacted via phone (423) 975-5650.

Contact Information

Primary practice address
2 Professional Park Dr Ste 11 Johnson City TN 37604-6584
Phone: (423) 975-5650
Fax: (423) 975-5652
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD19352 Tennessee

Profile Details

NPI number 1700872959
LBN Legal business name Cutshall, Kenneth E.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2005
Last updated Jul 27th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700872959 NPPES
Tennessee MEDICAID Q009403
Tennessee MEDICAID 3001652350001

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