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Individual

MICHAEL JAMES KUCENIC

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2921 SW WANAMAKER DR, TOPEKA, KS 66614-5328
(785) 272-6860
(785) 272-5839
Mailing address
2200 SW 6TH AVE STE 104, TOPEKA, KS 66606-1707
(785) 354-8518
(785) 354-1255

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
0431214
KS
207ND0101X
MOHS-Micrographic Surgery Physician
04-31214
KS
207ND0900X
Dermatopathology Physician
04-31214
KS
207ND0900X
Dermatopathology Physician
2020000004
MO
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
01062202A
IN

Other

Enumeration date
05/04/2007
Last updated
03/16/2023
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