Provider Demographics
NPI:1609764919
Name:KUCHTA, MELINDA KAY I
Entity type:Individual
Prefix:
First Name:MELINDA
Middle Name:KAY
Last Name:KUCHTA
Suffix:I
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 1:4057 DAVID AVE
Mailing Address - Street 2:
Mailing Address - City:GRAND ISLAND
Mailing Address - State:NE
Mailing Address - Zip Code:68803-1113
Mailing Address - Country:US
Mailing Address - Phone:308-395-8002
Mailing Address - Fax:
Practice Address - Street 1:4057 DAVID AVE
Practice Address - Street 2:
Practice Address - City:GRAND ISLAND
Practice Address - State:NE
Practice Address - Zip Code:68803-1113
Practice Address - Country:US
Practice Address - Phone:308-395-8002
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-25
Last Update Date:2025-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TM1800XBehavioral Health & Social Service ProvidersPsychologistIntellectual & Developmental Disabilities