Provider Demographics
NPI:1336503481
Name:KUCHERA, KRISTELLE
Entity Type:Individual
Prefix:
First Name:KRISTELLE
Middle Name:
Last Name:KUCHERA
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 1:4421 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WHITEHALL
Mailing Address - State:PA
Mailing Address - Zip Code:18052-1505
Mailing Address - Country:US
Mailing Address - Phone:844-782-8300
Mailing Address - Fax:844-782-8301
Practice Address - Street 1:4421 MAIN ST
Practice Address - Street 2:
Practice Address - City:WHITEHALL
Practice Address - State:PA
Practice Address - Zip Code:18052-1505
Practice Address - Country:US
Practice Address - Phone:844-782-8300
Practice Address - Fax:844-782-8301
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-05
Last Update Date:2016-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health