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Individual

VICTOR ANTHONY KUCHMANER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
1570 S CANFIELD NILES RD, BUILDING A, SUITE 103, AUSTINTOWN, OH 44515-4077
(330) 793-4445
(330) 793-1990
Mailing address
10922 S TRYON ST, STE B, CHARLOTTE, NC 28273-4152
(704) 588-3433

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4155
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000250416
ANTHEM PROVIDER NUMBER
OH
Enumeration date
06/28/2006
Last updated
05/04/2016
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