Individual
MEDISA KUCUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2333 ALEXANDRIA DR, LEXINGTON, KY 40504-3215
(859) 545-3900
Mailing address
2333 ALEXANDRIA DR, LEXINGTON, KY 40504-3215
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/03/2024
Last updated
01/03/2024
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