Kucera, Nicole Marie

Kucera, Nicole Marie is an individual health care provider with primary practice located at 1720 W Grand St Ste B , Springfield MO 65802-4802. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Kucera, Nicole Marie can be contacted via phone (417) 831-0150.

Contact Information

Primary practice address
1720 W Grand St Ste B Springfield MO 65802-4802
Phone: (417) 831-0150
Fax: (417) 863-1936
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2016025648 Missouri

Profile Details

NPI number 1083955108
LBN Legal business name Kucera, Nicole Marie
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2013
Last updated Aug 3rd, 2026 - about 3 months 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 1083955108 NPPES
Missouri MEDICAID 500137105

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