Individual
CAROL KUCEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1770 FRONT ST, #230, LYNDEN, WA 98264-2103
(702) 250-7090
Mailing address
1770 FRONT STREET, #230, LYNDEN, WA 98264
(702) 250-7090
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-1724
ID
363A00000X
Physician Assistant
PA60129908
WA
Other
Enumeration date
02/18/2010
Last updated
05/14/2019
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