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John Kuckelman
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Joint Base Lewis Mcchord, Washington
NPI 1669882304

John Kuckelman is a Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician based in Tacoma, WA. John Kuckelman practices in Joint Base Lewis Mcchord, WA. The NPI Number for John Kuckelman is 1669882304 and holds a License No. 92772 (Washington).

The current practice location address for John Kuckelman is 9040 Jackson Ave, Joint Base Lewis Mcchord, WA and can be reached out via phone at 253-968-1110.

Location: 9040 Jackson Ave, Joint Base Lewis Mcchord, WA, 98431-0001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669882304
Provider Name
John Kuckelman
Credential
Provider Entity Type
Individual
Gender
Male
Address
9040 Jackson Ave, Joint Base Lewis Mcchord, WA, 98431-0001
Phone Number
253-968-1110
Fax Number
Provider Enumeration Date
05/03/2014
Last Update Date
06/15/2024
institution
Provider Business Practice Location Address Details
Address
9040 Jackson Ave
City
Joint Base Lewis Mcchord
State
Washington
Zip
98431-1000
Phone Number
253-968-1110
Fax Number
person
Provider Business Mailing Address Details
Address
9040 Jackson Ave
City
Joint Base Lewis Mcchord
State
Washington
Zip
98431-1000
Phone Number
253-968-1110
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Speciality
-
Taxonomy
208G00000X
License No.
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Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
92772 (Georgia)
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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