Individual
MICHAEL L. KUCHERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3200 COLD SPRING RD, INDIANAPOLIS, IN 46222-1960
(317) 955-6279
(317) 955-6287
Mailing address
6626 E 75TH ST, STE 500, INDIANAPOLIS, IN 46250-2805
(317) 621-7584
(317) 957-2705
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
02004171A
IN
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
OS0501240
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001929497
—
PA
05
—
201158610
—
IN
01
—
P01424414
RAIL ROAD PTAN
IN
Enumeration date
08/03/2005
Last updated
04/14/2015
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