Patricia Kukuselis, LMT
Specialist in Clarksville, IN. Individual provider (NPI-1).
NPI number1003034646
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1003034646
- Entity type
- Individual (NPI-1)
- Name
- Ms. Patricia Kukuselis
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 20, 2007
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | KY-0140 | KY | Yes |
Practice location
1506 Idlewood DrClarksville, IN 47129-1332
Phone 812-945-2369
Mailing address
1506 Idlewood DrClarksville, IN 47129-1332
Phone 812-945-2369
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