Provider Demographics
NPI:1073619631
Name:SUTTON, RICHARD KURT (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:KURT
Last Name:SUTTON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:341 N CALVERT ST
Mailing Address - Street 2:LOWER LEVEL
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21202-3633
Mailing Address - Country:US
Mailing Address - Phone:410-659-0689
Mailing Address - Fax:410-385-2676
Practice Address - Street 1:301 SAINT PAUL ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21202-2102
Practice Address - Country:US
Practice Address - Phone:410-332-9375
Practice Address - Fax:410-332-9365
Is Sole Proprietor?:No
Enumeration Date:2006-09-14
Last Update Date:2008-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0062936207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDK233R379Medicare PIN