SearchNew Mexico363AM0700X

Wabanang Kuczek, MPH, PA-C

NPI 1841217403 · on the registry since 2006

Practice

Address
1600 Saint Michaels Dr
Santa Fe, NM 87505
Phone
(505) 473-6918
Fax
(505) 473-6467
Organisation at this address
Santa Fe Recovery Center Inc
Presbyterian Medical Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
363AM0700X
363AM0700X
Licence states on file
NM
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico