Tammy M Kucia in Rockford - Physician Assistant
Tammy M Kucia - NPI 1164533097
Tammy M Kucia is a Physician Assistant in Rockford, Illinois. Tammy M Kucia practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Tammy M Kucia is 1164533097. The last update date is 2015-06-17.
Tammy M Kucia's current location address is 2300 N Rockton Ave, Rockford, Illinois. You can contact this provider via phone number 8159712000. The mailing address for Tammy M Kucia is 2300 N Rockton Ave, Rockford, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tammy M Kucia |
|---|---|
| Address | 2300 N Rockton Ave, Rockford, Illinois |
| Phone Number | 8159712000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA C |
NPI Number Detail
| NPI Number | 1164533097 |
|---|---|
| Provider Enumeration Date | 2006-08-31 |
| Last Updated Date | 2015-06-17 |
Provider Mailing Address Detail
| Address | 2300 N Rockton Ave |
|---|---|
| City | Rockford |
| State | Illinois (IL) |
| Post Code | 611033619 |
| Phone Number | 8159712000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 085-002416 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00626529 | IL | RR MEDICARE |
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What is the unique 10-digit identification code issued to Tammy M Kucia by the Centers for Medicare & Medicaid Services?
The Tammy M Kucia has been assigned the NPI (National Provider Identifier) 1164533097 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
What is Tammy M Kucia's area of expertise and its corresponding taxonomy classification?
The Tammy M Kucia's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.
What is Tammy M Kucia's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Tammy M Kucia is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1164533097 to Tammy M Kucia?
The Centers for Medicare & Medicaid Services originally issued the 1164533097 to Tammy M Kucia on 2006-08-31.
As of what date were the details pertaining to Tammy M Kucia last refreshed?
The information related to the Tammy M Kucia, including its address, specialty, and other relevant details, was last updated on 2015-06-17.