NICOLE MARIE KUCERA D.O. NPI 1083955108

NPI Information

NPI: 1083955108
Provider Name: NICOLE MARIE KUCERA, D.O.
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
3443 S NATIONAL AVE
SPRINGFIELD, MO
ZIP 65807
Phone: (417) 269-2000
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Nicole Marie Kucera, D.O. is a pediatrics in Springfield, MO. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Nicole Marie Kucera, D.O. NPI is 1083955108. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3443 S NATIONAL AVE
SPRINGFIELD, MO
ZIP 65807
Phone: (417) 269-2000
Fax: (417) 269-2038

The enumeration date for this NPI number is 3/14/2013 and was last updated on 8/18/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics		2016025648	MISSOURI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	500137105	MEDICAID	MISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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