Healthcare Provider Details

I. General information

NPI: 1366315012
Provider Name (Legal Business Name): EMMA KUCIAPINSKI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/29/2025
Last Update Date: 11/10/2025
Certification Date: 11/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1941 LIMESTONE RD STE 101
WILMINGTON DE
19808-5413
US

IV. Provider business mailing address

1941 LIMESTONE RD STE 101
WILMINGTON DE
19808-5413
US

V. Phone/Fax

Practice location:
  • Phone: 302-655-9494
  • Fax:
Mailing address:
  • Phone: 302-655-9494
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberC5-0012362
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: