Provider Demographics
NPI:1255337069
Name:KUTTNER, GORDON BRUCE (MD)
Entity type:Individual
Prefix:DR
First Name:GORDON
Middle Name:BRUCE
Last Name:KUTTNER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:10310 HOLLYBROOK DR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28277-0509
Mailing Address - Country:US
Mailing Address - Phone:704-847-9862
Mailing Address - Fax:
Practice Address - Street 1:3325 SPRINGBANK LN
Practice Address - Street 2:STE 300
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28226-3364
Practice Address - Country:US
Practice Address - Phone:704-542-6006
Practice Address - Fax:704-542-0340
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology