Whalio Doctors

NPI 1003827668

Timothy J Kutz, MD

Practitioner Child Abuse Pediatrics Physician Saint Louis, MO

Practice location

Address
1465 S Grand Blvd, Saint Louis, MO 63104-1003
Phone
(314) 268-6406
Fax
(314) 268-2712

Registered specialties (2)

Child Abuse Pediatrics Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2080C0008X Licence 2001016564 (MO)
Pediatrics Physician
Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 2001016564 (MO)

Registry record

NPI
1003827668
Entity type
Individual
Sex (as registered)
Male
NPI issued
10 Aug 2006
Record last updated
11 Jan 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.