Provider Demographics
NPI:1487614293
Name:KUTTNER, BARRY JOSEPH (MD, PHD)
Entity type:Individual
Prefix:
First Name:BARRY
Middle Name:JOSEPH
Last Name:KUTTNER
Suffix:
Gender:
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6140 W ATLANTIC AVE
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33484
Mailing Address - Country:US
Mailing Address - Phone:561-498-4407
Mailing Address - Fax:561-498-4480
Practice Address - Street 1:6140 W ATLANTIC AVENUE
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33484
Practice Address - Country:US
Practice Address - Phone:561-498-4407
Practice Address - Fax:561-498-4480
Is Sole Proprietor?:No
Enumeration Date:2006-03-24
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME62586174400000X, 207ND0900X, 207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No174400000XOther Service ProvidersSpecialist
No207ND0900XAllopathic & Osteopathic PhysiciansDermatologyDermatopathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLA64870Medicare UPIN
FL28547DMedicare ID - Type Unspecified