Kucera, Ian J

Kucera, Ian J is an individual health care provider with primary practice located at 823 Sw Mulvane St , Topeka KS 66606-1764. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Kucera, Ian J can be contacted via phone (785) 270-0070.

Contact Information

Primary practice address
823 Sw Mulvane St Topeka KS 66606-1764
Phone: (785) 270-0070
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 04-30570 Kansas
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 04-30570 Kansas
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 04-30570 Kansas

Profile Details

NPI number 1386637635
LBN Legal business name Kucera, Ian J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2005
Last updated Jan 2nd, 2024 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386637635 NPPES
Kansas Other P00154209 PALMETTO GBA RR MEDICARE
Kansas MEDICAID 200260450A PALMETTO GBA RR MEDICARE

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