Most Relevant Information
Provider Data
| NPI Number: | 1003827668 |
| Provider Name: | TIMOTHY J KUTZ MD |
| Entity Type: | Individual |
| Taxonomy Code: | 208000000X |
| Specialty: | Pediatrics |
| License Number: | 2001016564 |
Most Important Dates
| Enumeration Date: | 08/10/2006 |
| Last Updated: | 01/11/2021 |
Provider Practice Location
1465 S GRAND BLVD
SAINT LOUIS
MO
631041003
Practice Location Phone/Fax
| Phone: | 3142686406 |
| Fax: | 3142682712 |
Provider Mailing Location
1465 S GRAND BLVD
SAINT LOUIS
MO
631041003
Provider Mailing Phone/Fax
| Phone: | 3142686406 |
| Fax: | 3142682712 |
Suggested EMR
Pediatrics EMR