Tracy Claire Kutsenkow, NP
NPI #1699767020 in Selma, California
Provider Information
- NPI Number
- 1699767020
- Entity Type
- Individual
- Name
- Tracy Claire Kutsenkow, NP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Credential
- NP
- Enumeration Date
- Aug 22, 2005
- Last Updated
- May 7, 2008
Practice Location
- Address
- 2511 LOGAN ST
- Address 2
- LOGAN STREET MEDICAL GROUP
- City
- Selma
- State
- California
- ZIP Code
- 93662-3012
- Phone
- (559) 896-2624
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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