Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | NC |
NPI | 1255337069 |
---|---|
Provider Name | Dr. Gordon Bruce Kuttner |
First Address | Charlotte, NC 28277-0509 |
Second Address | Charlotte, NC 28226-3364 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2005 |
Last Update Date | 08/07/2007 |