Cucinotta, Kelly M
Cucinotta, Kelly M is an individual health care provider with primary practice located at 4102 Ogletown Stanton Rd , Newark DE 19713-4169. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Cucinotta, Kelly M can be contacted via phone (302) 894-1800.Contact Information
Primary practice address
4102 Ogletown Stanton Rd
Newark DE 19713-4169
Phone: (302) 894-1800
Fax: (302) 894-1811
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | J10001378 | Delaware |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT006924L | Pennsylvania |
Profile Details
| NPI number | 1689616179 |
|---|---|
| LBN Legal business name | Cucinotta, Kelly M |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 11th, 2006 |
| Last updated | Mar 5th, 2013 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689616179 | NPPES |
| Other | 0454043000 | AMERIHEALTH | |
| MEDICAID | 100037586 | AMERIHEALTH |
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