MARK R KUTYLA, DPM, Surgery, Foot LEXINGTON, SC

Contact Information

MARK R KUTYLA, DPM

121 PARK PLACE CT
LEXINGTON, SC 29072-6690

Phone: 803-356-4712
Fax: 803-356-0832
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Surgery, Foot	213ES0131X	48	Podiatry
Magnetic Resonance Imaging Radiologic Technologist	2471M1202X
Primary Podiatric Medicine	213EP1101X	48	Podiatry
Radiology	213ER0200X	48	Podiatry
Sports Medicine	213ES0000X	48	Podiatry

Indicates primary specialty

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NPI Profile & details for MARK R KUTYLA · (Male)

NPI Number	`1326007022`
Status	Active
Credentials	DPM (Doctor of Podiatric Medicine)
Entity	Individual
Enumeration date	03/21/2006
Last updated	11/09/2020 - About 6 years ago
Sole proprietor ¹	No
Identifiers	SC License # 516 SC Other 1020003 ACM - MIDLANDS FOOT CLINIC SC Other 1015587 ACM - NEWBERRY FOOT CLINIC SC Other 7238051 AETNA PROVIDER SC Other 0433675 CIGNA PROVIDER SC Other 42D2021725 CLIA CERTIFICATE OF WAIVER FOR MIDLANDS FOOT CLINIC LOCATION SC Other 42D2921723 CLIA CERTIFICATE OF WAIVER FOR NEWBERRY FOOT CLINIC LOCATION SC Other K066682 INTEGRATED HEALTH PLAN PROVIDER SC Other 480032059 MEDICARE RAILROAD PROVIDER SC Other 1720032816 NPI # FOR MIDLANDS FOOT CLINIC - PRIMARY PRACTICE LOCATION SC Other 1851338461 NPI # FOR NEWBERRY FOOT CLINIC - ADDITIONAL PRACTICE LOCATION SC Other 1326007022 NPI # MARK R KUTYLA DPM
Hospital affiliation(s)	LEXINGTON MEDICAL CENTER - (Acute Care) 2720 SUNSET BLVD WEST COLUMBIA, SC 29169

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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MARK R KUTYLA, DPM – NPI #1326007022Surgery, Foot

Contact Information

Specialty

Surgery, Foot

Magnetic Resonance Imaging Radiologic Technologist

Primary Podiatric Medicine

Radiology

Sports Medicine

NPI Profile & details for MARK R KUTYLA · (Male)

Reviews for MARK R KUTYLA

MARK R KUTYLA, DPM – NPI #1326007022
Surgery, Foot