Individual
DR. KENNETH ZOUCHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
17958
NE
208000000X
Pediatrics Physician
Primary
17958
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34122
BLUE CROSS BLUE SHIELD NE
NE
05
—
F76234
—
NE
Enumeration date
08/15/2005
Last updated
12/05/2018
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