Individual
LOU J KUCHENOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHA-III
Contact information
Practice address
172 MAIN STREET, SAND POINT, AK 99661
(907) 383-3151
(907) 383-5688
Mailing address
3380 C ST STE 100, ANCHORAGE, AK 99503-3949
(907) 277-1440
(907) 277-1436
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MDG926
—
AK
Enumeration date
05/22/2008
Last updated
05/07/2010
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