Individual provider · Type 1 NPI

Jeremy Kulchuk

Medical Physician Assistant · Charleston, WV

NPI number 1386042984 Active

Practice location

3200 Maccorkle Ave SE
Charleston, WV 25304-1227

Mailing address

34 Chester Dr Apt 202
Scott Depot, WV 25560-5608

Other practice locations

  • 563 State Route 34, Hurricane, WV 25526-7000 · (304) 757-5063

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X660 (WV)

Medical Physician Assistant: Definition to come...

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About NPI 1386042984

Jeremy Kulchuk's National Provider Identifier is 1386042984, issued on Dec 12, 2014. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Charleston, WV. The record was last updated on Jun 10, 2024.