Lutz, Kyle A

Lutz, Kyle A is an individual health care provider with primary practice located at 520 Mary St Ste 520 , Evansville IN 47710-1682. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Lutz, Kyle A can be contacted via phone (812) 424-8231.

Contact Information

Primary practice address
520 Mary St Ste 520 Evansville IN 47710-1682
Phone: (812) 424-8231
Fax: (812) 435-8794
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 10000720A Indiana

Profile Details

NPI number 1568550804
LBN Legal business name Lutz, Kyle A
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2006
Last updated Mar 5th, 2024 - about last year

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 1568550804 NPPES
Other 000000335308 ANTHEM BCBS
Other 100000720 ANTHEM BCBS
MEDICAID 300007791 ANTHEM BCBS
MEDICAID 9500485900 ANTHEM BCBS

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