Provider Demographics
NPI:1467969832
Name:KUT TO THE CHASE, LLC
Entity Type:Organization
Organization Name:KUT TO THE CHASE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:CHASE
Authorized Official - Middle Name:LEVAR
Authorized Official - Last Name:ISOM
Authorized Official - Suffix:
Authorized Official - Credentials:CERTIFIED HAIR LOSS
Authorized Official - Phone:443-518-9075
Mailing Address - Street 1:PO BOX 21104
Mailing Address - Street 2:
Mailing Address - City:CATONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21228-0604
Mailing Address - Country:US
Mailing Address - Phone:443-518-9075
Mailing Address - Fax:
Practice Address - Street 1:608 EDMONDSON AVE STE 2
Practice Address - Street 2:
Practice Address - City:CATONSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21228-3357
Practice Address - Country:US
Practice Address - Phone:443-518-9075
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-05
Last Update Date:2018-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD1017491744P3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1744P3200XOther Service ProvidersSpecialistProsthetics Case ManagementGroup - Single Specialty