Individual provider · Type 1 NPI

Cheryl L. Kukich, PA

Medical Physician Assistant · Mayfield Heights, OH

NPI number 1689975138 Active

Practice location

300 Allen Bradley Dr
Mayfield Heights, OH 44124-6131

Fax (877) 712-6578

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700X5601005909 (MI)
Medical Physician Assistant 363AM0700X085003953 (IL)
Medical Physician Assistant Primary 363AM0700X50.004044RX (OH)

Medical Physician Assistant: Definition to come...

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About NPI 1689975138

Cheryl L. Kukich, PA's National Provider Identifier is 1689975138, issued on Nov 15, 2010. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Mayfield Heights, OH. The record was last updated on Apr 19, 2016.