Provider Demographics
NPI:1659616738
Name:KUTTNER, DONALD KIP (D O)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:KIP
Last Name:KUTTNER
Suffix:
Gender:M
Credentials:D O
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1465 VALLEY CENTER PKWY
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18017-2265
Mailing Address - Country:US
Mailing Address - Phone:610-691-5850
Mailing Address - Fax:610-691-5748
Practice Address - Street 1:1465 VALLEY CENTER PKWY
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18017-2265
Practice Address - Country:US
Practice Address - Phone:610-691-5850
Practice Address - Fax:610-691-5748
Is Sole Proprietor?:No
Enumeration Date:2012-11-30
Last Update Date:2012-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS008708L207ZB0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZB0001XAllopathic & Osteopathic PhysiciansPathologyBlood Banking & Transfusion Medicine