Cucinotta, Kelly M

Cucinotta, Kelly M is an individual health care provider with primary practice located at 4102 Ogletown Stanton Rd , Newark DE 19713-4169. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Cucinotta, Kelly M can be contacted via phone (302) 894-1800.

Contact Information

Primary practice address
4102 Ogletown Stanton Rd Newark DE 19713-4169
Phone: (302) 894-1800
Fax: (302) 894-1811
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X J10001378 Delaware
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT006924L Pennsylvania

Profile Details

NPI number 1689616179
LBN Legal business name Cucinotta, Kelly M
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2006
Last updated Mar 5th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689616179 NPPES
Other 0454043000 AMERIHEALTH
MEDICAID 100037586 AMERIHEALTH

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