Individual provider · NPI-1

Cory Gutovitz

Internal Medicine · Westwood, KS

NPI number1750810099
StatusActive
Last updated in NPPESApr 13, 2022

Details

NPI
1750810099
Entity type
Individual (NPI-1)
Name
Cory Gutovitz
Sex
Male
Sole proprietor
No
Enumeration date
Jun 9, 2017
Certification date
Apr 13, 2022
Last updated
Apr 13, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine0443614KSYes
207R00000X Internal Medicine9409275KS

Practice location

2650 Shawnee Mission Pkwy Ste 2201
Westwood, KS 66205-2003

Phone 913-588-9800 · Fax 913-588-9803

Mailing address

2650 Shawnee Mission Pkwy Ste 2201
Westwood, KS 66205-2003

Phone 913-588-9800 · Fax 913-588-9803

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