Individual
MR. CONOR KUCZKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2030 MOUNTAIN VIEW AVE STE 420, LONGMONT, CO 80501-3182
(303) 776-9400
Mailing address
25 CROSSROADS DR STE 306, OWINGS MILLS, MD 21117-5437
(303) 695-6106
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
05/22/2023
Last updated
09/20/2023
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