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Contact Information

JOHN R KUCZYNSKI, MD
406A BLACK HILLS LN SW
OLYMPIA, WA98502
 Phone: 360-754-1735
 Fax: 360-704-3404
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for JOHN R KUCZYNSKI · (Male)

NPI Number 1497897771
Status Active
Credentials MD
Entity Individual
Enumeration date 02/13/2007
Last updated 03/27/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # 76493
  • WA License # MD60202111
Hospital affiliation(s)
  • CAPITAL MEDICAL CENTER - (Acute Care)
    3900 CAPITAL MALL DR SW
    OLYMPIA, WA 98502
  • GRAYS HARBOR COMMUNITY HOSPITAL - (Acute Care)
    915 ANDERSON DRIVE
    ABERDEEN, WA 98520
  • MASON GENERAL HOSPITAL & FAMILY OF CLINICS - (Critical Access)
    901 MT VIEW DRIVE
    SHELTON, WA 98584
  • PROVIDENCE CENTRALIA HOSPITAL - (Acute Care)
    914 S SCHEUBER ROAD
    CENTRALIA, WA 98531
  • PROVIDENCE ST PETER HOSPITAL - (Acute Care)
    413 LILLY ROAD NE
    OLYMPIA, WA 98506
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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