Healthcare Provider Details

I. General information

NPI: 1215646120
Provider Name (Legal Business Name): RACHEL CATHERINE KUCHNICKI PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/18/2022
Last Update Date: 11/18/2022
Certification Date: 11/18/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 LOCUST ST
PITTSBURGH PA
15219-5114
US

IV. Provider business mailing address

1447 IROQUOIS DR
PITTSBURGH PA
15205-5211
US

V. Phone/Fax

Practice location:
  • Phone: 412-328-3994
  • Fax:
Mailing address:
  • Phone: 412-328-3994
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: