Kuckelman, Richard

Kuckelman, Richard is an individual health care provider with primary practice located at 1000 Carondelet Dr , Kansas City MO 64114-4673. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Ultrasound, which is considered as his primary health care specialty. Kuckelman, Richard can be contacted via phone (913) 599-6777.

Contact Information

Primary practice address
1000 Carondelet Dr Kansas City MO 64114-4673
Phone: (913) 599-6777
Fax: (913) 599-3955
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Ultrasound 2085U0001X 105558 Missouri

Profile Details

NPI number 1285672758
LBN Legal business name Kuckelman, Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2006
Last updated Jul 8th, 2007 - about 19 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 1285672758 NPPES
Other 20876021 BCBS PROVIDER NUMBER
MEDICAID 100159050B BCBS PROVIDER NUMBER
MEDICAID 206973901 BCBS PROVIDER NUMBER

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