Individual
EMILY SUSAN KUCHINOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10000 FALLS OF NEUSE RD, RAIEGH, NC 27614-7838
(919) 350-8000
Mailing address
PO BOX 603949, CHARLOTTE, NC 28260-3949
(919) 350-0351
(919) 350-7687
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-06772
NC
363AS0400X
Surgical Physician Assistant
0010-06772
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1730621129
—
NC
Enumeration date
11/16/2016
Last updated
02/23/2023
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