Kuckelman, John

Kuckelman, John is an individual health care provider with primary practice located at 9040 Jackson Ave , Joint Base Lewis Mcchord WA 98431-1000. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is his primary health care specialty. Kuckelman, John can be contacted via phone (253) 968-1110.

Contact Information

Primary practice address
9040 Jackson Ave Joint Base Lewis Mcchord WA 98431-1000
Phone: (253) 968-1110
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 92772 Georgia
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X DO.OP.61502437-IMLC Washington

Profile Details

NPI number 1669882304
LBN Legal business name Kuckelman, John
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2014
Last updated May 17th, 2024 - about 2 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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