Individual
DR. JOSHUA SHEPARD KUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
179 BOUQUET CIR, WINDSOR, CA 95492-9607
(904) 307-3440
Mailing address
PO BOX 977, WINDSOR, CA 95492-0977
(904) 307-3440
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A98059
CA
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
M1853
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
177578503
—
TX
Enumeration date
04/14/2006
Last updated
12/15/2021
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