Individual
DR. NICHOLAS PAUL KUCINSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
10230 W HAPPY VALLEY PKWY, PEORIA, AZ 85383-4691
(623) 561-3030
(623) 825-5630
Mailing address
2500 W UTOPIA RD, SUITE 100, PHOENIX, AZ 85027-4171
(623) 434-6200
(623) 434-6164
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
006440
AZ
207Q00000X
Family Medicine Physician
Primary
R73472
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R73472
TRAINING PERMIT
AZ
Enumeration date
06/25/2012
Last updated
08/24/2023
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