| Doctor Name: | DR. DAVID A KUTLICK |
| NPI Number: | 1154329225 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPM |
| License Number: | OH-36-00-1819-K |
| Business Practice Address: | 15700 State Route 170 Suite B East Liverpool, OH - 439209657 |
| Business Phone Number: | 3303852227 |
| Business Fax Number: | 3303854242 |
| Mailing Address: | 15700 State Route 170, Suite B EAST LIVERPOOL |
| State: | OH |
| Postal Code: | 439209657 |
| Phone Number: | 3303852227 |
| Fax Number: | 3303854242 |
| NPI Enumeration Date: | 07/12/2005 |
| NPI Last Update Date: | 07/21/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | 03/16/2006 |
| NPI Reactivation Date: | 03/21/2006 |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213EP1101X |
| License Number: | OH-36-00-1819-K |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Primary Podiatric Medicine |
| Taxonomy Definition: | |