Individual
NICOLE M KUCHINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
160 FAYETTE ST, MORGANTOWN, WV 26505-0188
(304) 288-0629
(304) 288-0629
Mailing address
16659 VETERANS MEMORIAL HWY, KINGWOOD, WV 26537-8037
(304) 288-0629
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2018-3577
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2018-3577
PEIA
WV
Enumeration date
01/16/2018
Last updated
01/16/2018
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