RICHARD KUCKELMAN (NPI# 1285672758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285672758 |
Entity Type | Individual |
Full Name | RICHARD KUCKELMAN |
Credential | MD |
Practice Address |
1000 Carondelet Dr Kansas City MO 64114-4673 |
Mailing Address |
9212 Nieman Rd Overland Park KS 66214-1868 |
Practice Telephone | 9135996777 |
Practice Fax Number | 9135993955 |
Mailing Telephone | 9135996777 |
Mailing Fax Number | 9135993955 |
Enumeration Date | 2006-06-04 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
105558 | MO | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
BCBS PROVIDER NUMBER | 20876021 | 01 | |
MO | 206973901 | 05 | |
KS | 100159050B | 05 |
Street Address |
1000 CARONDELET DR |
City | KANSAS CITY |
State | MO |
Zip Code | 64114-4673 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558363838 | Carondelet Emergency Physicians Inc | Emergency Medicine | 1000 Carondelet Dr, Kansas City, MO 64114-4673 | 2005-06-01 |
1871117465 | Kensey Demoss | Speech-Language Pathologist | 1000 Carondelet Dr, Kansas City, MO 64114-4673 | 2020-05-30 |
1447882345 | Sean Hudson | Pharmacist | 1000 Carondelet Dr, Kansas City, MO 64114-4673 | 2020-02-08 |
1174162556 | Alexandra Rozman-o'neill | Pharmacist | 1000 Carondelet Dr, Kansas City, MO 64114-4673 | 2020-01-02 |
1992344691 | Mary Davidson | Pharmacist | 1000 Carondelet Dr, Kansas City, MO 64114-4673 | 2019-12-27 |
1053959825 | Fadia Khuffash | Pharmacist | 1000 Carondelet Dr, Kansas City, MO 64114-4673 | 2019-12-12 |
1144868969 | Amanda K Howell | Nurse Practitioner | 1000 Carondelet Dr, Ste 201b, Kansas City, MO 64114-4673 | 2019-12-11 |
1174160485 | Melissa Ann Dusenberry | Nurse Practitioner | 1000 Carondelet Dr, Ste 201b, Kansas City, MO 64114-4673 | 2019-12-05 |
1821578501 | Amanda Hocker | Clinical Nurse Specialist | 1000 Carondelet Dr, Kansas City, MO 64114-4673 | 2018-08-21 |
1336634294 | Amanda K Goldsmith | Nurse Practitioner | 1000 Carondelet Dr, Kansas City, MO 64114-4673 | 2018-06-24 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164055968 | Nova Home Infusion, LLC | Home Infusion | 7611 State Line Road, Suite 130 B, Kansas City, MO 64114 | 2020-02-20 |
1770011017 | Rene Thomsen | Counselor | 222 W Gregory Blvd Ste 120, Kansas City, MO 64114 | 2017-05-31 |
1114452075 | Accent Home Health Care LLC | In Home Supportive Care | 7817 Wornall Rd, Kansas City, MO 64114 | 2017-04-27 |
1174982599 | Mei Dodson | Contractor | 8901 Washington St, Kansas City, MO 64114 | 2016-02-12 |
1851784805 | Sarah Jeannette Gulledge | Registered Nurse | 930 Carondelet Dr., Suite 201, Kansas City, MO 64114 | 2015-03-16 |
1376936591 | Corey Bess | Podiatrist | 1010 Carondelet Dr Ste 301, Kansas City, MO 64114 | 2015-03-12 |
1013339753 | Kati Mayer | Physical Therapist | 10008 Walnut Dr., #202, Kansas City, MO 64114 | 2014-01-15 |
1619270311 | Gavett Burch | Marriage & Family Therapist | 222 W Gregory Blvd., Suite #319, Kansas City, MO 64114 | 2010-12-18 |
1679873046 | Ken Kidd Inc Dba Miracle-ear | Hearing Instrument Specialist | 1148 W. 103rd St, Kansas City, MO 64114 | 2010-11-01 |
1316264161 | Elizabeth Vasquez | Physician Assistant | 1004 Carondelet Dr., Suite 330, Kansas City, MO 64114 | 2010-05-03 |
Find all providers in zip 64114 |
Taxonomy Code | 2085U0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Diagnostic Ultrasound |
A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound. |
Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: definiton added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty. [Note: In medical practice, Diagnostic Ultrasound is part of the scope of training and practice of a Diagnostic Radiologists – see Taxonomy Code 2085R0202X.] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306467741 | Renee Elizabeth Locandro | Radiology | 1 Hospital Dr, Columbia, MO 65212-1000 | 2020-04-27 |
1679550784 | Zubres Radiology Inc | Radiology | 221 Physicians Park, Poplar Bluff, MO 63901-3956 | 2005-12-29 |
City | KANSAS CITY |
Zip Code | 64114 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.