Suttor, Cammual Dylan

Suttor, Cammual Dylan is an individual health care provider with primary practice located at 100 N Eagle Creek Dr , Lexington KY 40509-1805. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Suttor, Cammual Dylan can be contacted via phone (859) 258-5353.

Contact Information

Primary practice address
100 N Eagle Creek Dr Lexington KY 40509-1805
Phone: (859) 258-5353
Fax: (859) 258-5335
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 37982 Kentucky

Profile Details

NPI number 1487657367
LBN Legal business name Suttor, Cammual Dylan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Mar 8th, 2019 - 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 1487657367 NPPES
Kentucky MEDICAID 64069438

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