Individual
MICHAEL KUCHENTHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
444 W BOURNE CIR STE 200, FARMINGTON, UT 84025-3657
(801) 776-0174
(801) 825-3904
Mailing address
2701 SW 13TH ST APT D11, GAINESVILLE, FL 32608-2069
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
05/07/2019
Last updated
06/08/2022
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