Individual provider · Type 1 NPI

John Kuckelman

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · Joint Base Lewis Mcchord, WA

NPI number 1669882304 Active

Practice location

9040 Jackson Ave
Joint Base Lewis Mcchord, WA 98431-1000

Call (253) 968-1110 Map

Other practice locations

  • 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431-1000 · (253) 968-0236
  • 1120 15th St, Augusta, GA 30912-1000 · (706) 721-8623

Specialties and licenses

TaxonomyCodeLicense
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X92772 (GA)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Primary 208G00000XDO.OP.61502437-IMLC (WA)

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician: A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of th…

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About NPI 1669882304

John Kuckelman's National Provider Identifier is 1669882304, issued on May 3, 2014. The primary taxonomy on file is Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (208G00000X), and the practice location is in Joint Base Lewis Mcchord, WA. The record was last updated on May 17, 2024.