Individual
PAUL KISUCKY III
Active
Individual
PAUL KISUCKY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
583176
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00C79M
BCBS OF TEXAS
—
05
—
088570902
—
TX
05
—
088570904
—
TX
01
—
84581U
BCBS
TX
01
—
86378U
BCBS OF TEXAS
—
Enumeration date
07/10/2006
Last updated
07/01/2019
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up