Individual provider · Type 1 NPI

Acksa Chacko Kucharyson, PA-C

Medical Physician Assistant · Melbourne, FL

NPI number 1174861405 Active

Practice location

1314 Oak St
Melbourne, FL 32901-3111

Call (321) 727-7992 Map

Other practice locations

  • 1000 Wall Street, Ann Arbor, MI 48105-1912 · (734) 764-4190

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA9110285 (FL)
Medical Physician Assistant Primary 363AM0700XPA9110285 (FL)
Physician Assistant 363A00000X5601006555 (MI)

Medical Physician Assistant: Definition to come...

20 other providers at this address

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About NPI 1174861405

Acksa Chacko Kucharyson, PA-C's National Provider Identifier is 1174861405, issued on Jan 22, 2013. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Melbourne, FL. The record was last updated on Jan 21, 2025.