Provider Demographics
NPI:1699720748
Name:KUTTLER, JOHN D (RPH CDM)
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:D
Last Name:KUTTLER
Suffix:
Gender:M
Credentials:RPH CDM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16067 E LEHIGH CIR
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80013-2709
Mailing Address - Country:US
Mailing Address - Phone:303-690-5343
Mailing Address - Fax:
Practice Address - Street 1:3190 S PARKER RD
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-3110
Practice Address - Country:US
Practice Address - Phone:303-750-1263
Practice Address - Fax:303-743-1455
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO11092183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist