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
Fax: (541) 880-2840
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174787113 NPPES
Oregon MEDICAID 026194

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