NPI 1922297720 · live from the CMS NPI Registry
Jennifer Neville Kucera, M.D.
Radiology, Pediatric Radiology in St Petersburg, FL. National Provider Identifier 1922297720, active.
NPI record
| NPI | 1922297720 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Pediatric Radiology 2085P0229X |
| Practice location | 501 6th Ave S, Dept #6580071400, St Petersburg, FL 33701 |
| Practice phone | 727-767-3318 |
| Mailing address | Po Box 191, Rockland, DE 19732 |
| Enumerated | October 17, 2007 |
| Last updated | August 4, 2022 |
| Sole proprietor | No |
| Other names | Jennifer Neville |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology | 2085R0202X | ME110645 (FL) |
| Radiology, Pediatric Radiology primary | 2085P0229X | ME110645 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.