Person

Timothy John Kutz

Debarred entity

United States. Named in 2 sanctions listings.

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Summary

License number: MD041055E, PROMISe# 001244575

Sanctions and listings2

  • Effective
    5 Jun 2020

    Official designation

    Pennsylvania Department of Human servicesUS Delaware Medicaid Sanctioned ProvidersUnited States

    Terminated Provider Agreement

    medicaid.dhss.delaware.gov

  • Effective
    5 Jun 2020

    Official designation

    Department of Human ServicesUS Pennsylvania Medicheck listUnited StatesPrecluded

    pa.gov

Identifiers2

IdentifierNumber
ID numberMD041055E
NPI number1346394061

Other names1

Also known as1

Timothy J Kutz

Addresses1

  • Berks, PA

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