Individual provider · Type 1 NPI

Amanda L. Kuczo

Student in an Organized Health Care Education/Training Program · Fairfield, CT

NPI number 1376170076 Active

Practice location

105 High Ridge Rd
Fairfield, CT 06825-2531

Call (203) 767-1766 Map

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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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About NPI 1376170076

Amanda L. Kuczo's National Provider Identifier is 1376170076, issued on Mar 24, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fairfield, CT. The record was last updated on Mar 24, 2020.