Provider Demographics
NPI:1275251365
Name:MISKOLCZI, KASKA DANICA
Entity Type:Individual
Prefix:
First Name:KASKA
Middle Name:DANICA
Last Name:MISKOLCZI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 ASHWOOD PKWY APT 1421
Mailing Address - Street 2:
Mailing Address - City:DUNWOODY
Mailing Address - State:GA
Mailing Address - Zip Code:30338-7517
Mailing Address - Country:US
Mailing Address - Phone:808-278-3738
Mailing Address - Fax:
Practice Address - Street 1:1000 ASHWOOD PKWY APT 1421
Practice Address - Street 2:
Practice Address - City:DUNWOODY
Practice Address - State:GA
Practice Address - Zip Code:30338-7517
Practice Address - Country:US
Practice Address - Phone:808-278-3738
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-16
Last Update Date:2022-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA156F00000X, 372600000X, 1744G0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1744G0900XOther Service ProvidersSpecialistGraphics Designer
No156F00000XEye and Vision Services ProvidersTechnician/Technologist
No372600000XNursing Service Related ProvidersAdult Companion