Mark R Kutyla Dpm Pa, NPI 1720032816
Primary Podiatric Medicine Podiatrist in Lexington, SC, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1720032816 |
| NPI Entity Type | Organization |
| Provider Name |
Mark R Kutyla Dpm Pa
Doing Business As |
| Subpart of Organization | Mark R Kutyla Dpm Pa |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 121 Park Place Ct, Lexington, SC, US |
| Provider Mailing Address | 121 Park Place Ct, Lexington, SC, US, 290726690 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | DR. D.P.M. Mark R Kutyla |
| Official Position | PRESIDENT |
| Phone | 803-356-4712 |
Group Taxonomy
| Taxonomy Code | 193400000X |
| Taxonomy Name | 193400000X MULTIPLE SINGLE SPECIALTY GROUP |
| Definition | A business group of one or more individual practitioners, all of who practice with the same area of specialization. |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Primary Podiatric Medicine Podiatrist |
| Classification | |
| Group | |
| License No. | 516 |
| License State | SC |
| Description | Definition to come... |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| 516 | SC | No | |||
| 516 | SC | No | |||
| 516 | SC | No | |||
Technologists, Technicians & Other Technical Service Providers |
516 | SC | No | ||
| 516 | SC | No | |||
| 516 | SC | No | |||
| 516 | SC | No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 7238051 | SC | AETNA PROVIDER NO. | 01 |
| 1020003 | SC | ACM # MIDLANDS FOOT CL. | 01 |
| 42D2021725 | SC | CLIA CERTIFICATE OF WAIVER | 01 |
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