Mcnutt, Richard Kevin

Mcnutt, Richard Kevin is an individual health care provider with primary practice located at 900 S Webster Ave , Green Bay WI 54301-3508. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Mcnutt, Richard Kevin can be contacted via phone (920) 965-7411.

Contact Information

Primary practice address
900 S Webster Ave Green Bay WI 54301-3508
Phone: (920) 965-7411
Fax: (920) 965-7412
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 27731 Wisconsin
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 27731 Wisconsin

Profile Details

NPI number 1215014279
LBN Legal business name Mcnutt, Richard Kevin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Feb 26th, 2013 - about 11 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 1215014279 NPPES
Wisconsin MEDICAID 31707700

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