Individual
RASTISLAV KUCINSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3001 DAGGETT AVE STE 101, KLAMATH FALLS, OR 97601-1126
(541) 884-6233
(541) 880-2840
Mailing address
2614 CLOVER ST, KLAMATH FALLS, OR 97601-1132
(541) 884-6233
(541) 880-2840
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
MD28454
OR
207RI0011X
Interventional Cardiology Physician
Primary
MD28454
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
026194
—
OR
Enumeration date
07/17/2008
Last updated
11/04/2022
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