Kucma, Lisa K

Kucma, Lisa K is an individual health care provider with primary practice located at 4023 Village Park Dr , Knightdale NC 27545-7044. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Kucma, Lisa K can be contacted via phone (919) 261-9444.

Contact Information

Primary practice address
4023 Village Park Dr Knightdale NC 27545-7044
Fax: (919) 261-9470
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 3401 North Carolina

Profile Details

NPI number 1689792004
LBN Legal business name Kucma, Lisa K
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2007
Last updated Nov 19th, 2015 - about 11 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 1689792004 NPPES
North Carolina Other 085V8 BCBSNC
North Carolina MEDICAID 5902485 BCBSNC

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