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Individual
DR. KRISTIN KUCERA MARCUM
Active
Individual
DR. KRISTIN KUCERA MARCUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
2012-00371
NC
207Y00000X
Otolaryngology Physician
Primary
P4782
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5920418
—
NC
Enumeration date
12/06/2007
Last updated
06/10/2020
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