person
Joseph John Kukucka, FNP
Family Nurse Practitioner in Irmo, South Carolina
NPI 1801474408

Joseph John Kukucka is a Family Nurse Practitioner based in Irmo, SC and is specialized in Family. Joseph John Kukucka practices in Irmo, SC and has the professional credentials of FNP. The NPI Number for Joseph John Kukucka is 1801474408 and holds a License No. 24211 (South Carolina).

The current practice location address for Joseph John Kukucka is 18 Ash Ct, Irmo, SC and can be reached out via phone at 803-749-9531. You can also correspond with Joseph John Kukucka through the mailing address at 18 ASH CT, IRMO, SC - 29063-9584 (mailing address contact number: 803-749-9531).

Location: 18 Ash Ct, Irmo, SC, 29063-9584
person
Provider Profile Details
NPI Number
1801474408
Provider Name
Joseph John Kukucka
Credential
FNP
Provider Entity Type
Individual
Gender
Male
Address
18 Ash Ct, Irmo, SC, 29063-9584
Phone Number
803-749-9531
Fax Number
Provider Enumeration Date
04/01/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
18 Ash Ct
City
State
Zip
29063
Phone Number
803-749-9531
Fax Number
person
Provider Business Mailing Address Details
Address
18 Ash Ct
City
State
Zip
29063
Phone Number
803-749-9531
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
24211 (South Carolina)
Definition
Definition to come...
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