1720032816 MARK R KUTYLA DPM PA
Primary Podiatric Medicine Podiatrist
Active
Basic Information
- Organization Name
- MARK R KUTYLA DPM PA
- Enumeration Date
- May 22, 2006
- Last Update
- November 6, 2011
- Authorized Official
- DR. MARK R KUTYLA D.P.M.
PRESIDENT
Phone: (803) 356-4712
Practice Location
- Address
- 121 PARK PLACE CT
LEXINGTON, SC 290726690 - Phone
- (803) 356-4712
- Fax
- (803) 356-0832
Mailing Address
- Address
- 121 PARK PLACE CT
LEXINGTON, SC 290726690 - Phone
- (803) 356-4712
- Fax
- (803) 356-0832
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Radiology Podiatrist Radiology | 213ER0200X | Podiatrist | 516 | SC | No |
| Sports Medicine Podiatrist Sports Medicine | 213ES0000X | Podiatrist | 516 | SC | No |
| Foot Surgery Podiatrist Foot Surgery | 213ES0131X | Podiatrist | 516 | SC | No |
| Magnetic Resonance Imaging Radiologic Technologist Magnetic Resonance Imaging | 2471M1202X | Radiologic Technologist | 516 | SC | No |
| Durable Medical Equipment & Medical Supplies | 332B00000X | Durable Medical Equipment & Medical Supplies | 516 | SC | No |
| Customized Equipment (DME) Customized Equipment | 332BC3200X | Durable Medical Equipment & Medical Supplies | 516 | SC | No |
| Prosthetic/Orthotic Supplier | 335E00000X | Prosthetic/Orthotic Supplier | 516 | SC | No |
| Primary Podiatric Medicine Podiatrist Primary Podiatric Medicine | 213EP1101X | Podiatrist | 516 | SC | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7238051 | 01 | SC | AETNA PROVIDER NO. |
| 1020003 | 01 | SC | ACM # MIDLANDS FOOT CL. |
| 42D2021725 | 01 | SC | CLIA CERTIFICATE OF WAIVER |
Frequently Asked Questions
What is MARK R KUTYLA DPM PA's NPI number?
MARK R KUTYLA DPM PA's NPI number is 1720032816.
Which doctor has NPI number 1720032816?
The doctor with NPI number 1720032816 is MARK R KUTYLA DPM PA.
What is MARK R KUTYLA DPM PA's practice address?
MARK R KUTYLA DPM PA's practice address is 121 PARK PLACE CT, LEXINGTON, SC, 290726690.
Which doctor practices at 121 PARK PLACE CT, LEXINGTON, SC, 290726690?
MARK R KUTYLA DPM PA practices at 121 PARK PLACE CT, LEXINGTON, SC, 290726690.
What is MARK R KUTYLA DPM PA's phone number?
MARK R KUTYLA DPM PA's phone number is (803) 356-4712.
Who is (803) 356-4712?
(803) 356-4712 is the phone number for MARK R KUTYLA DPM PA.
What is MARK R KUTYLA DPM PA's specialty?
MARK R KUTYLA DPM PA's specialty is Primary Podiatric Medicine Podiatrist.
What type of doctor is MARK R KUTYLA DPM PA?
MARK R KUTYLA DPM PA is a Primary Podiatric Medicine Podiatrist.
Is MARK R KUTYLA DPM PA a Primary Podiatric Medicine?
Yes, MARK R KUTYLA DPM PA is a Primary Podiatric Medicine.
Is MARK R KUTYLA DPM PA still practicing?
Yes, MARK R KUTYLA DPM PA is currently practicing.
Is MARK R KUTYLA DPM PA accepting new patients?
MARK R KUTYLA DPM PA may be accepting new patients. Please call their office at (803) 356-4712 to inquire about availability.
Is NPI 1720032816 still active?
Yes, NPI 1720032816 is currently active.
Where does MARK R KUTYLA DPM PA practice?
MARK R KUTYLA DPM PA practices in LEXINGTON, SC.