Individual
MRS. STEPHANIE MARGARET KUCKUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2414 S STATE ROAD 5, LARWILL, IN 46764-9766
(260) 723-4179
(260) 723-4101
Mailing address
2414 S STATE ROAD 5, LARWILL, IN 46764-9766
(260) 723-4179
(260) 723-4101
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
553962-1
NY
Other
Enumeration date
11/30/2007
Last updated
11/30/2007
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