JOHN KUCKELMAN
Individual Provider (NPI-1)
Active
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Information
- NPI Number
1669882304- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 9040 JACKSON AVE, JOINT BASE LEWIS MCCHORD, WA, 984311000
- Phone
- (253) 968-1110
Specialties & Taxonomies
Thoracic Surgery (Cardiothoracic Vascular Surgery)
License: GA #92772
Student in an Organized Health Care Education/Training Program
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Primary License: WA #DO.OP.61502437-IMLC