Kit D. Kuss Md Pa | |
1003 College Blvd W Ste 2 Niceville FL 32578-1069 | |
(850) 678-0443 | |
(850) 678-7999 |
Full Name | Kit D. Kuss Md Pa |
---|---|
Speciality | Clinic/Center |
Location | 1003 College Blvd W Ste 2, Niceville, Florida |
Authorized Official Name and Position | Kit D Kuss (PRESIDENT) |
Authorized Official Contact | 8506780443 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Kit D. Kuss Md Pa 1003 College Blvd W Ste 2 Niceville FL 32578-1069 Ph: (850) 678-0443 | Kit D. Kuss Md Pa 1003 College Blvd W Ste 2 Niceville FL 32578-1069 Ph: (850) 678-0443 |
NPI Number | 1639408800 |
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Provider Enumeration Date | 12/16/2009 |
Last Update Date | 12/16/2009 |
Medicare PECOS PAC ID | 4385784149 |
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Medicare Enrollment ID | O20091229000628 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639408800 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Kit D Kuss |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1902877756 PECOS PAC ID: 3476693235 Enrollment ID: I20091229000627 |
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