Individual provider · Type 1 NPI

Wabanang Gaiashkibos Kuczek, MPH, PA-C

Medical Physician Assistant · Santa Fe, NM

NPI number 1841217403 Active

Practice location

1600 Saint Michaels Dr
Santa Fe, NM 87505-7615

Call (505) 473-6918 Map

Fax (505) 473-6467

Mailing address

16 Cloud March E
Santa Fe, NM 87506-2171

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA2003-0044 (NM)

Medical Physician Assistant: Definition to come...

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About NPI 1841217403

Wabanang Gaiashkibos Kuczek, MPH, PA-C's National Provider Identifier is 1841217403, issued on Jul 17, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Santa Fe, NM. The record was last updated on Jul 8, 2007.