Kuck, Annette W

Kuck, Annette W is an individual health care provider with primary practice located at 6025 Lake Rd Ste110, Woodbury MN 55125-1709. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Kuck, Annette W can be contacted via phone (651) 735-7414.

Contact Information

Primary practice address
6025 Lake Rd Ste110 Woodbury MN 55125-1709
Phone: (651) 735-7414
Fax: (651) 735-1827
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X R089470-8 Minnesota

Profile Details

NPI number 1902875826
LBN Legal business name Kuck, Annette W
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Nov 17th, 2011 - about 15 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 1902875826 NPPES
Wisconsin MEDICAID 34860000
Wisconsin Other HP23673
Wisconsin Other 1008767
Wisconsin MEDICAID 831022000
Wisconsin Other 0407370
Wisconsin Other 132742

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