Conor Kuczka, PA-C
Physician Assistant in Longmont, CO. Individual provider (NPI-1).
NPI number1760174643
StatusActive
Last updated in NPPESSep 20, 2023
Details
- NPI
- 1760174643
- Entity type
- Individual (NPI-1)
- Name
- Mr. Conor Kuczka
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 22, 2023
- Certification date
- Sep 20, 2023
- Last updated
- Sep 20, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | – | Yes |
Practice location
2030 Mountain View Ave Ste 420Longmont, CO 80501-3182
Phone 303-776-9400
Mailing address
25 Crossroads Dr Ste 306Owings Mills, MD 21117-5437
Phone 303-695-6106
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All 92 Physician Assistant providers in Longmont · All 3,303 providers in Longmont
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