Individual
DR. IAN J KUCERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
823 SW MULVANE ST, TOPEKA, KS 66606-1764
(785) 270-0070
Mailing address
823 SW MULVANE ST, TOPEKA, KS 66606-1764
(785) 270-0070
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
04-30570
KS
207L00000X
Anesthesiology Physician
04-30570
KS
207LP2900X
Pain Medicine (Anesthesiology) Physician
04-30570
KS
208VP0000X
Pain Medicine Physician
Primary
04-30570
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200260450A
—
KS
01
—
P00154209
PALMETTO GBA RR MEDICARE
KS
Enumeration date
08/23/2005
Last updated
12/19/2025
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