Most Relevant Information
Provider Data
| NPI Number: | 1003342197 |
| Provider Name: | ERIC JOHN KUTAY RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163WP0809X |
| Specialty: | Registered Nurse |
| License Number: | RN597353 |
Most Important Dates
| Enumeration Date: | 05/10/2017 |
| Last Updated: | 05/10/2017 |
Provider Practice Location
4531 NORTHWAY RD
WILLIAMSPORT
PA
177018494
Practice Location Phone/Fax
| Phone: | 5704352570 |
| Fax: |
Provider Mailing Location
4531 NORTHWAY RD
WILLIAMSPORT
PA
177018494
Provider Mailing Phone/Fax
| Phone: | 5704352570 |
| Fax: |