Provider Demographics
NPI:1588996904
Name:KUTSCHMAN, ROBERT EDWARD (NURSE PRACTITIONER)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:EDWARD
Last Name:KUTSCHMAN
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Gender:M
Credentials:NURSE PRACTITIONER
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Mailing Address - Street 1:4301 WILSON ST
Mailing Address - Street 2:REYNOLDS ARMY COMMUNITY HOSPITAL
Mailing Address - City:FORT SILL
Mailing Address - State:OK
Mailing Address - Zip Code:73503-6001
Mailing Address - Country:US
Mailing Address - Phone:580-558-2134
Mailing Address - Fax:580-558-2314
Practice Address - Street 1:4301 WILSON ST
Practice Address - Street 2:REYNOLDS ARMY COMMUNITY HOSPITAL
Practice Address - City:FORT SILL
Practice Address - State:OK
Practice Address - Zip Code:73503-6001
Practice Address - Country:US
Practice Address - Phone:580-558-2134
Practice Address - Fax:580-558-2314
Is Sole Proprietor?:No
Enumeration Date:2010-02-10
Last Update Date:2010-02-10
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Provider Licenses
StateLicense IDTaxonomies
MI4704209982363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care