Provider Demographics
NPI:1467191692
Name:KUTLER, LYNN (PHD, RN, FMCHC)
Entity Type:Individual
Prefix:DR
First Name:LYNN
Middle Name:
Last Name:KUTLER
Suffix:
Gender:F
Credentials:PHD, RN, FMCHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3525 TURTLE CREEK BLVD APT 6B
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75219-5515
Mailing Address - Country:US
Mailing Address - Phone:214-906-6309
Mailing Address - Fax:
Practice Address - Street 1:3525 TURTLE CREEK BLVD APT 6B
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75219-5515
Practice Address - Country:US
Practice Address - Phone:214-906-6309
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-04
Last Update Date:2022-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX246367163WN1003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WN1003XNursing Service ProvidersRegistered NurseNutrition Support