Kim Luciano is a Pediatrics in Marlton, New Jersey. Kim Luciano practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Kim Luciano is 1740284496. The last update date is 2022-08-23.
Kim Luciano's current location address is 401 Route 73 N Ste 320, Marlton, New Jersey. You can contact this provider via phone number 6096071010. The mailing address for Kim Luciano is 401 Route 73 N Ste 320, Marlton, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kim Luciano |
|---|---|
| Address | 401 Route 73 N Ste 320, Marlton, New Jersey |
| Phone Number | 6096071010 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | APN, C |
NPI Number Detail
| NPI Number | 1740284496 |
|---|---|
| Provider Enumeration Date | 2005-06-10 |
| Last Updated Date | 2022-08-23 |
Provider Mailing Address Detail
| Address | 401 Route 73 N Ste 320 |
|---|---|
| City | Marlton |
| State | New Jersey (NJ) |
| Post Code | 805334260 |
| Phone Number | 6096071010 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 363Lp0200X |
| Licence No | 26NN07311100 |
|
Definition: An advanced practice registered nurse expert in providing care to infants, children and adolescents. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6769004 | NJ | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Kim Luciano by the Centers for Medicare & Medicaid Services (CMS)?
The Kim Luciano has been assigned the NPI (National Provider Identifier) 1740284496. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Kim Luciano?
The Kim Luciano is situated at 401 Route 73 N Ste 320, in the city of Marlton, state of NJ, with the zip code 805334260.
What is the Kim Luciano's specialty and taxonomy code?
The Kim Luciano's specialty is Pediatrics, and the corresponding taxonomy code is 363Lp0200X.
On what date did the Centers for Medicare & Medicaid Services issue the 1740284496 to Kim Luciano?
The Kim Luciano received its 1740284496 assignment from the Centers for Medicare & Medicaid Services on 2005-06-10.
When was the information regarding Kim Luciano, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Kim Luciano, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2022-08-23.