Individual
CORRY JEB KUCIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
325 9TH AVE, SEATTLE, WA 98104-2420
(206) 520-5000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD61100234
WA
207LP2900X
Pain Medicine (Anesthesiology) Physician
MD61100234
WA
Other
Enumeration date
12/21/2005
Last updated
08/21/2025
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