Kut Life

NPI #1588169304 in Buffalo, New York

Provider Information

NPI Number: 1588169304
Entity Type: Organization
Organization Name: Kut Life
Primary Specialty: Specialist
Enumeration Date: Mar 25, 2018
Last Updated: Mar 25, 2018

Practice Location

Address: 474 HEWITT AVE
City: Buffalo
State: New York
ZIP Code: 14215-1700
Phone: (716) 424-0687

Authorized Official

Name: LUDUKE TATE, BARBER
Title: OWNER
Phone: (716) 816-8144

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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