Kutyla, Mark Raymond

Kutyla, Mark Raymond is an individual health care provider with primary practice located at 121 Park Place Ct , Lexington SC 29072-6690. He recently has 5 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Radiology, Podiatric Medicine & Surgery Service Providers / Sports Medicine, Technologists, Technicians & Other Technical Service Providers / Magnetic Resonance Imaging, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Foot Surgery is his primary health care specialty. Kutyla, Mark Raymond can be contacted via phone (803) 356-4712.

Contact Information

Primary practice address
121 Park Place Ct Lexington SC 29072-6690
Phone: (803) 356-4712
Fax: (803) 356-0832
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 516 South Carolina
Podiatric Medicine & Surgery Service Providers / Radiology 213ER0200X 516 South Carolina
Podiatric Medicine & Surgery Service Providers / Sports Medicine 213ES0000X 516 South Carolina
Technologists, Technicians & Other Technical Service Providers / Magnetic Resonance Imaging 2471M1202X 516 South Carolina
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 516 South Carolina

Profile Details

NPI number 1326007022
LBN Legal business name Kutyla, Mark Raymond
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2006
Last updated Nov 9th, 2020 - about 5 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 1326007022 NPPES
South Carolina Other 1020003 ACM - MIDLANDS FOOT CLINIC
South Carolina Other 1326007022 ACM - MIDLANDS FOOT CLINIC
South Carolina Other 7238051 ACM - MIDLANDS FOOT CLINIC
South Carolina Other 1720032816 ACM - MIDLANDS FOOT CLINIC
South Carolina Other 42D2921723 ACM - MIDLANDS FOOT CLINIC
South Carolina Other 1851338461 ACM - MIDLANDS FOOT CLINIC
South Carolina Other K066682 ACM - MIDLANDS FOOT CLINIC
South Carolina Other 0433675 ACM - MIDLANDS FOOT CLINIC
South Carolina Other 480032059 ACM - MIDLANDS FOOT CLINIC
South Carolina Other 1015587 ACM - MIDLANDS FOOT CLINIC
South Carolina Other 42D2021725 ACM - MIDLANDS FOOT CLINIC

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