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Breveenn Muthu Kukan
Student in an Organized Health Care Education/Training Program in Waycross, Georgia
NPI 1689434557

Breveenn Muthu Kukan is a Student in an Organized Health Care Education/Training Program based in Waycross, GA. Breveenn Muthu Kukan practices in Waycross, GA. The NPI Number for Breveenn Muthu Kukan is 1689434557 and holds a License No. (Georgia).

The current practice location address for Breveenn Muthu Kukan is 1900 Tebeau St, Waycross, GA and can be reached out via phone at 707-454-6791.

Location: 1900 Tebeau St, Waycross, GA, 31501-6357
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689434557
Provider Name
Breveenn Muthu Kukan
Credential
Provider Entity Type
Individual
Gender
Male
Address
1900 Tebeau St, Waycross, GA, 31501-6357
Phone Number
707-454-6791
Fax Number
Provider Enumeration Date
03/19/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
1900 Tebeau St
City
Waycross
State
Georgia
Zip
31501-6357
Phone Number
707-454-6791
Fax Number
person
Provider Business Mailing Address Details
Address
1900 Tebeau St
City
Waycross
State
Georgia
Zip
31501-6357
Phone Number
707-454-6791
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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