Individual
STEVEN J KUCHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1604 SOUTH 1ST STREET, WILLMAR, MN 56201
(320) 231-5000
(320) 231-5067
Mailing address
101 WILLMAR AVE SW, WILLMAR, MN 56201
(320) 231-5079
(320) 231-5067
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP4496
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
637675400
—
MN
Enumeration date
11/08/2006
Last updated
03/27/2023
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