MRS. VICKIE L KUTZLER


Address: 10400 75 Th Street, Kenosha, WI 53142-7884
Phone: 2629486866

MRS. VICKIE L KUTZLER (NPI# 1235432931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235432931
Entity Type Individual
Full Name MRS. VICKIE L KUTZLER
Credential SA-C
Practice Address 10400 75 Th Street
Kenosha
WI 53142-7884
Mailing Address 2901 43rd Ave
Kenosha
WI 53144-1576
Practice Telephone 2629486866
Mailing Telephone 2626949392
Enumeration Date 2010-12-19
Last Update Date 2011-09-12
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 246ZC0007X Specialist/Technologist, Other
Specialization: Surgical Assistant
Technologists, Technicians & Other Technical Service Providers

Office Location

Street Address 10400 75 TH STREET
City KENOSHA
State WI
Zip Code 53142-7884

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1225409485 Antonia Marie Decker Physician Assistant 10400 75th St. Ste 204, Kenosha, WI 53142 2015-10-14
1780060582 Joshua Haas Pharmacist 7701 Green Bay Road, Kenosha, IL 53142 2015-08-04
1811379225 Dana Mary Stout Registered Nurse 7401 104th Avenue, Suite 110, Comprehensive Orthopaedics, S.c., Kenosha, WI 53142 2015-06-22
1669815569 Joshua Knute Elson Radiology 6811 118th Ave, Kenosha, WI 53142 2013-04-10
1356610166 Michael J Gallo Pharmacist 7535 North Greenbay Rd, Kenosha, WI 53142 2011-12-22
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Taxonomy Information

Taxonomy Code 246ZC0007X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Specialist/Technologist, Other
Specialization Surgical Assistant

Taxonomy Definition

A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training.
Notes: Source: Association of Surgical Assistants, 2014. [7/1/2014: title modified, definition modified] http://www.surgicalassistant.org/index.php/surgical-assisting Additional Resources: National Surgical Assistant Association, www.nsaa.net.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1194004325 Patricia A. Eder Specialist/Technologist, Other 10400 75th St, Kenosha, WI 53142-7884 2011-08-05

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1124673611 Kim Marie Kummrow Specialist/Technologist, Other 9000 W Wisconsin Ave Ste 360, Milwaukee, WI 53226-4874 2019-08-02
1740701614 Gaylene Heaton Specialist/Technologist, Other 502 Copper St Ste 5, Hurley, WI 54534-1386 2017-06-30
1801330709 Ann Nollet Specialist/Technologist, Other 2876 E Carlson Rd, Foxboro, WI 54836-9511 2016-12-12
1730635061 Melissa Kristof Specialist/Technologist, Other 1821 Sounth Webster Ave., Green Bay, WI 54301 2016-08-28
1497150866 Jonathan Ratzel Specialist/Technologist, Other 330 Brookside Dr Unit 1, Mayville, WI 53050-2855 2014-10-28
1033452503 Allen Limberg Specialist/Technologist, Other 1200 Pintail Ln, Wausau, WI 54401-8110 2013-04-02
1932440989 Superior Surgical Services, LLC Specialist/Technologist, Other 3121 Oak Knoll Dr, Apt 4, Eau Claire, WI 54701-6400 2013-03-14
1457618472 Andreas Konrad Haase Specialist/Technologist, Other 3705 County Road H Apt 5, Franksville, WI 53126-9332 2012-04-15
1710265913 Katherine Marie Holsclaw Specialist/Technologist, Other 18200 W Capitol Dr, Brookfield, WI 53045-1445 2011-07-22
1316247489 Christopher A Stevenson Specialist/Technologist, Other N8556 622nd St, Colfax, WI 54730-4610 2010-10-23
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Competitor

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City KENOSHA
Zip Code 53142

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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