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Slade Kuckenbaker, DO
Student in an Organized Health Care Education/Training Program in Temple, Texas
NPI 1427750769

Slade Kuckenbaker is a Student in an Organized Health Care Education/Training Program based in Temple, TX. Slade Kuckenbaker practices in Temple, TX and has the professional credentials of DO. The NPI Number for Slade Kuckenbaker is 1427750769 and holds a License No. (Texas).

The current practice location address for Slade Kuckenbaker is 2401 S 31St St # Msag407Q, Temple, TX and can be reached out via phone at 254-724-2585.

Location: 2401 S 31St St # Msag407Q, Temple, TX, 76508-0002
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1427750769
Provider Name
Slade Kuckenbaker
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
2401 S 31St St # Msag407Q, Temple, TX, 76508-0002
Phone Number
254-724-2585
Fax Number
Provider Enumeration Date
03/20/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2401 S 31St St # Msag407Q
City
Temple
State
Texas
Zip
76508-0002
Phone Number
254-724-2585
Fax Number
person
Provider Business Mailing Address Details
Address
2401 S 31St St # Msag407Q
City
Temple
State
Texas
Zip
76508-0002
Phone Number
254-724-2585
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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