Provider Demographics
NPI:1760706386
Name:ORCUTT, KEVIN P (MD)
Entity Type:Individual
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First Name:KEVIN
Middle Name:P
Last Name:ORCUTT
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Gender:M
Credentials:MD
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Mailing Address - Street 1:621 S ILLINOIS AVE
Mailing Address - Street 2:SUITE 103
Mailing Address - City:MASON CITY
Mailing Address - State:IA
Mailing Address - Zip Code:50401-5405
Mailing Address - Country:US
Mailing Address - Phone:641-428-3041
Mailing Address - Fax:641-428-3059
Practice Address - Street 1:1000 4TH ST SW
Practice Address - Street 2:
Practice Address - City:MASON CITY
Practice Address - State:IA
Practice Address - Zip Code:50401-2800
Practice Address - Country:US
Practice Address - Phone:641-428-6330
Practice Address - Fax:641-428-6295
Is Sole Proprietor?:No
Enumeration Date:2010-03-25
Last Update Date:2021-04-20
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Provider Licenses
StateLicense IDTaxonomies
IA426362085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology