| Ms Phyllis J Kutch, PA-C | |
| 
					11 Jenkins Street, Mauldin, SC 29662-2412  | |
| (864) 288-1941 | |
| (864) 288-1946 | 
| Full Name | Ms Phyllis J Kutch | 
|---|---|
| Gender | Female | 
| Speciality | Physician Assistant - Medical | 
| Location | 11 Jenkins Street, Mauldin, South Carolina | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1821144304 | NPI | - | NPPES | 
| 0506PA | Medicaid | SC | |
| GP4225 | Other | SC | MEDICAID GROUP NUMBER | 
| 8272 | Other | SC | MEDICARE GROUP NUMBER | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA1165 (South Carolina) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Ms Phyllis J Kutch, PA-C 11 Jenkins St, Mauldin, SC 29662-2412 Ph: (864) 288-1941  | Ms Phyllis J Kutch, PA-C 11 Jenkins Street, Mauldin, SC 29662-2412 Ph: (864) 288-1941  | 
Lesley D Looper, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 309 W Butler Rd, Mauldin, SC 29662 Phone: 864-297-1575 Fax: 864-297-6256  | |
Breanna Gardner,  Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 207 Pinecrest Dr, Mauldin, SC 29662 Phone: 864-420-8046  |