Individual
CHELSEA CATHERINE KUCKOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
15812 E INDIANA AVE, SPOKANE VALLEY, WA 99216-1875
(509) 444-8200
Mailing address
611 N IRON BRIDGE WAY, SPOKANE, WA 99202-4932
(509) 444-8888
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
61357051
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/24/2020
Last updated
12/10/2024
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