Provider Demographics
NPI:1497876411
Name:KUTEN, JAY (MD)
Entity type:Individual
Prefix:
First Name:JAY
Middle Name:
Last Name:KUTEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2455
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03302-2455
Mailing Address - Country:US
Mailing Address - Phone:603-223-0863
Mailing Address - Fax:
Practice Address - Street 1:#4 ACTON PLACE
Practice Address - Street 2:
Practice Address - City:WANGANUI
Practice Address - State:MANAWATU
Practice Address - Zip Code:4500
Practice Address - Country:NZ
Practice Address - Phone:11646-348-0415
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-03
Last Update Date:2014-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH48902084P0800X
AK56942084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry