NPI 1174622161

Matthew J Kuckler, CRNA

Practitioner Certified Registered Nurse Anesthetist St Paul, MN

Practice location

Address: 69 Exchange St W, St Paul, MN 55102
Phone: (651) 735-0501
Fax: (651) 735-1870
Mailing address: 8681 Eagle Point Blvd, Lake Elmo, MN 55042-8628

Registered specialties

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence R1427336 (MN)

Other Nurse Anesthetist, Certified Registered providers in Minnesota →

Registry record

NPI: 1174622161
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Sep 2006
Record last updated: 5 Oct 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.