Provider Demographics
NPI:1356431738
Name:MCFARLAND-KUTTER, CAROL JEAN (DC)
Entity type:Individual
Prefix:
First Name:CAROL
Middle Name:JEAN
Last Name:MCFARLAND-KUTTER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:CAROL
Other - Middle Name:JEAN
Other - Last Name:MCFARLAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:PO BOX 199
Mailing Address - Street 2:
Mailing Address - City:GROTON
Mailing Address - State:SD
Mailing Address - Zip Code:57445-0199
Mailing Address - Country:US
Mailing Address - Phone:605-397-8204
Mailing Address - Fax:605-397-8324
Practice Address - Street 1:1205 NORTH 1ST. STREET
Practice Address - Street 2:
Practice Address - City:GROTON
Practice Address - State:SD
Practice Address - Zip Code:57445-0199
Practice Address - Country:US
Practice Address - Phone:605-397-8204
Practice Address - Fax:605-397-8324
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2009-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD901111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD0005911OtherBLUE CROSS BLUE SHEILD
SDU72016Medicare UPIN
SD0005911OtherBLUE CROSS BLUE SHEILD