Marjorie Ann Bagwell Kukor in Springfield - Clinical
Marjorie Ann Bagwell Kukor - NPI 1104009166
Marjorie Ann Bagwell Kukor is a Clinical in Springfield, Ohio. Marjorie Ann Bagwell Kukor practices all healthcare services and medical treatments related to Clinical. The NPI Number for Marjorie Ann Bagwell Kukor is 1104009166. The last update date is 2009-09-08.
Marjorie Ann Bagwell Kukor's current location address is 1130 Vester Ave, Springfield, Ohio. You can contact this provider via phone number 9373903800 and fax number 9373903804. The mailing address for Marjorie Ann Bagwell Kukor is 1130 Vester Ave, Springfield, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marjorie Ann Bagwell Kukor |
|---|---|
| Address | 1130 Vester Ave, Springfield, Ohio |
| Phone Number | 9373903800 |
| Fax Number | 9373903804 |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1104009166 |
|---|---|
| Provider Enumeration Date | 2007-12-13 |
| Last Updated Date | 2009-09-08 |
Provider Mailing Address Detail
| Address | 1130 Vester Ave |
|---|---|
| City | Springfield |
| State | Ohio (OH) |
| Post Code | 455037302 |
| Phone Number | 9373903800 |
| Fax Number | 9373903804 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 6340 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique identifier code issued to Marjorie Ann Bagwell Kukor by the Centers for Medicare & Medicaid Services (CMS)?
The Marjorie Ann Bagwell Kukor has been assigned the NPI (National Provider Identifier) 1104009166. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Marjorie Ann Bagwell Kukor is geographically located?
The Marjorie Ann Bagwell Kukor is physically situated at the following location: 1130 Vester Ave, Springfield, OH, 455037302.
What is Marjorie Ann Bagwell Kukor's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Marjorie Ann Bagwell Kukor's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 103Tc0700X.
On what date did the Marjorie Ann Bagwell Kukor receive its 1104009166 assignment from the Centers for Medicare & Medicaid Services?
The Marjorie Ann Bagwell Kukor was assigned its 1104009166 by the Centers for Medicare & Medicaid Services on 2007-12-13.
When was the information related to Marjorie Ann Bagwell Kukor most recently updated or refreshed?
The details pertaining to the Marjorie Ann Bagwell Kukor, including its address, specialty, and other relevant information, were last updated or refreshed on 2009-09-08.
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