| Ms Phyllis J Kutch, PA-C | |
|
11 Jenkins Street, Mauldin, SC 29662-2412 | |
| (864) 288-1941 | |
| (864) 288-1946 |
| Full Name | Ms Phyllis J Kutch |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Medical |
| Location | 11 Jenkins Street, Mauldin, South Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821144304 | NPI | - | NPPES |
| 0506PA | Medicaid | SC | |
| GP4225 | Other | SC | MEDICAID GROUP NUMBER |
| 8272 | Other | SC | MEDICARE GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA1165 (South Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Phyllis J Kutch, PA-C 11 Jenkins St, Mauldin, SC 29662-2412 Ph: (864) 288-1941 | Ms Phyllis J Kutch, PA-C 11 Jenkins Street, Mauldin, SC 29662-2412 Ph: (864) 288-1941 |
Lesley D Looper, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 309 W Butler Rd, Mauldin, SC 29662 Phone: 864-297-1575 Fax: 864-297-6256 | |
Katie F Smith, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 793 E Butler Rd, Mauldin, SC 29662 Phone: 864-720-1442 Fax: 864-720-1443 |