Kris Jay Fucanan, MD

NPI #1306571286 in Grandview, Missouri

Provider Information

NPI Number: 1306571286
Entity Type: Individual
Name: Kris Jay Fucanan, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Jul 23, 2022
Last Updated: Jul 23, 2022

Practice Location

Address: 13013 FULLER AVE STE A
City: Grandview
State: Missouri
ZIP Code: 64030-2687
Phone: (816) 214-5548

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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