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Individual

MR. STUART TODD KUCHEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.S., O.T.R./L.

Contact information

Practice address
502 19TH ST, CODY, WY 82414-3325
(307) 899-2337
(307) 587-9060
Mailing address
2114 GENTLE ST, CODY, WY 82414-9404
(307) 899-2337
(307) 587-9060

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR-255
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
117946200
WY
05
117946201
WY
01
311814
BLUE CROSS BLUE SHIELD
WY
Enumeration date
07/07/2008
Last updated
07/07/2008
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