Individual
DR. JASON N KUCMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
4023 VILLAGE PARK DR, KNIGHTDALE, NC 27545-7044
(919) 261-9444
(919) 261-9470
Mailing address
4023 VILLAGE PARK DR, KNIGHTDALE, NC 27545-7044
(919) 261-9444
(919) 261-9470
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3369
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085V8
BCBSNC
NC
01
—
2458096
MEDICARE PTAN
NC
Enumeration date
06/17/2005
Last updated
11/19/2015
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