Mrs Jan Lanell Kukuk, LPN is a
Licensed Practical Nurse based in Perry, Oklahoma. Mrs Jan Lanell Kukuk is licensed to practice in Oklahoma (license number L0028360) and her current practice location is
800 Fir St, Perry, Oklahoma. She can be reached at her office (for appointments etc.) via phone at
(580) 336-4474.
NPI number for Mrs Jan Lanell Kukuk is 1265781488 and her current mailing address is 800 Fir St, Perry, Oklahoma. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1265781488.
Provider's Profile
| Full Name | Mrs Jan Lanell Kukuk |
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| Gender | Female |
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| Speciality | Licensed Practical Nurse |
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| Location | 800 Fir St, Perry, Oklahoma |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1265781488
- Provider Enumeration Date: 09/04/2012
- Last Update Date: 09/04/2012
Medical Identifiers
Medical identifiers for Mrs Jan Lanell Kukuk such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1265781488 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | L0028360 (Oklahoma) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Jan Lanell Kukuk is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Jan Lanell Kukuk, LPN
800 Fir St,
Perry, OK 73077-4239
Ph: (580) 336-4474 | Mrs Jan Lanell Kukuk, LPN
800 Fir St,
Perry, OK 73077-4239
Ph: (580) 336-4474 |
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