Kucera, Jennifer Neville

Kucera, Jennifer Neville is an individual health care provider with primary practice located at 501 6Th Ave S Dept #6580071400, St Petersburg FL 33701-4634. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Pediatric Radiology. Allopathic & Osteopathic Physicians / Pediatric Radiology is her primary health care specialty. Kucera, Jennifer Neville can be contacted via phone (727) 767-3318.

Contact Information

Primary practice address
501 6Th Ave S Dept #6580071400 St Petersburg FL 33701-4634
Phone: (727) 767-3318
Fax: (727) 767-8002
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME110645 Florida
Allopathic & Osteopathic Physicians / Pediatric Radiology 2085P0229X ME110645 Florida

Profile Details

NPI number 1922297720
LBN Legal business name Kucera, Jennifer Neville
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2007
Last updated Aug 4th, 2022 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922297720 NPPES
Florida MEDICAID 008757500

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