Kucinsky, Rastislav
Kucinsky, Rastislav is an individual health care provider with primary practice located at 3001 Daggett Ave Ste 101 , Klamath Falls OR 97601-1126. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Kucinsky, Rastislav can be contacted via phone (541) 884-6233.Contact Information
Primary practice address
3001 Daggett Ave Ste 101
Klamath Falls OR 97601-1126
Phone: (541) 884-6233
Fax: (541) 880-2840
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | MD28454 | Oregon |
Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | MD28454 | Oregon |
Profile Details
NPI number | 1174787113 |
---|---|
LBN Legal business name | Kucinsky, Rastislav |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 17th, 2008 |
Last updated | Nov 4th, 2022 - about 3 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 | 1174787113 | NPPES |
Oregon | MEDICAID | 026194 |
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