Kutzko, Deborah Leah

Kutzko, Deborah Leah is an individual health care provider with primary practice located at 111 Colchester Ave East Pavillion 5, Burlington VT 05401-1473. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Kutzko, Deborah Leah can be contacted via phone (802) 847-4594.

Contact Information

Primary practice address
111 Colchester Ave East Pavillion 5 Burlington VT 05401-1473
Phone: (802) 847-4594
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 101-0013820 Vermont

Profile Details

NPI number 1942303888
LBN Legal business name Kutzko, Deborah Leah
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2006
Last updated Jul 8th, 2007 - about 17 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 1942303888 NPPES
Vermont MEDICAID 1004474

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