Kucharczuk, Kristen
Kucharczuk, Kristen is an individual health care provider with primary practice located at 701 Montgomery Ave Suite 18, Penn Valley PA 19072-2036. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Kucharczuk, Kristen can be contacted via phone (610) 642-9200.Contact Information
Primary practice address
701 Montgomery Ave Suite 18
Penn Valley PA 19072-2036
Phone: (610) 642-9200
Fax: (610) 649-4723
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD071340L | Pennsylvania |
Profile Details
| NPI number | 1053504787 |
|---|---|
| LBN Legal business name | Kucharczuk, Kristen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 27th, 2007 |
| Last updated | Aug 2nd, 2012 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053504787 | NPPES |
| Pennsylvania | MEDICAID | 0018743340001 |
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