KUTCHBACK PODIATRY PA NPI 1639439409

NPI Information

  • NPI: 1639439409
  • Provider Name: KUTCHBACK PODIATRY, PA
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Organization
  • Address: 17191 ST LUKES WAY
    SUITE 290
    THE WOODLANDS, TX
    ZIP 77384
  • Phone: (936) 273-3311

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NPI Details

KUTCHBACK PODIATRY, PA is a foot and ankle surgery podiatrist in The Woodlands, TX. KUTCHBACK PODIATRY, PA NPI is 1639439409. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

17191 ST LUKES WAY
SUITE 290
THE WOODLANDS, TX
ZIP 77384-042
Phone: (936) 273-3311
Fax: (936) 273-3368

The provider's authorized official is Elizabeth Kutchback .
The authorized official title is Office Contact and has the following contact phone number (936) 273-7831.

The enumeration date for this NPI number is 5/25/2012 and was last updated on 9/2/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213ES0103XPodiatristFoot & Ankle Surgery1755TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1U07016MEDICARE UPINTEXAS
28K0509MEDICARE PINTEXAS
3180070801MEDICAIDTEXAS
4P00448635MEDICARE PINGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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