Individual
ELLA KUCHMIY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1923 S UTICA AVE, TULSA, OK 74104-6520
(918) 744-3131
Mailing address
4715 E 91ST ST STE 100, TULSA, OK 74137-2847
(918) 744-3131
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
7068
OK
207Q00000X
Family Medicine Physician
OP61390638
WA
Other
Enumeration date
04/23/2019
Last updated
04/25/2025
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