Kucharczuk, Kristen

Kucharczuk, Kristen is an individual health care provider with primary practice located at 701 Montgomery Ave Suite 18, Penn Valley PA 19072-2036. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Kucharczuk, Kristen can be contacted via phone (610) 642-9200.

Contact Information

Primary practice address
701 Montgomery Ave Suite 18 Penn Valley PA 19072-2036
Phone: (610) 642-9200
Fax: (610) 649-4723
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD071340L Pennsylvania

Profile Details

NPI number 1053504787
LBN Legal business name Kucharczuk, Kristen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 27th, 2007
Last updated Aug 2nd, 2012 - about 12 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 1053504787 NPPES
Pennsylvania MEDICAID 0018743340001

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