Provider Demographics
NPI:1669500138
Name:KUTSI, BARBARA DAWN (LPN)
Entity Type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:DAWN
Last Name:KUTSI
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8747 LAMBERT RD
Mailing Address - Street 2:
Mailing Address - City:COTTON
Mailing Address - State:MN
Mailing Address - Zip Code:55724-8008
Mailing Address - Country:US
Mailing Address - Phone:218-393-2170
Mailing Address - Fax:
Practice Address - Street 1:8747 LAMBERT RD
Practice Address - Street 2:
Practice Address - City:COTTON
Practice Address - State:MN
Practice Address - Zip Code:55724-8008
Practice Address - Country:US
Practice Address - Phone:218-393-2170
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNL 0369034-2164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse