Individual provider · Type 1 NPI
Joseph John Kukucka, FNP
Family Nurse Practitioner · Irmo, SC
NPI number
1801474408
Active
Practice location
18 Ash Ct
Irmo, SC 29063
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 24211 (SC) |
Family Nurse Practitioner: Definition to come...
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About NPI 1801474408
Joseph John Kukucka, FNP's National Provider Identifier is 1801474408, issued on Apr 1, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Irmo, SC. The record was last updated on Apr 1, 2021.