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NPI Code Detail

MEDICARE: KIT D KUSS MD

MEDICARE: KIT D KUSS MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianME86953FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00125887OTHERFLMEDICARE RAILROAD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
27868484OTHERAETNA
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
471661OTHERFLBCBS

General Provider Information

NPI Number : 1902877756
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIT D KUSS MD
Provider Business Mailing Address
First Line : 1491 GOVERNORS SQUARE BLVD
Second Line : STE 1200
City : TALLAHASSEE
State : FL
Zip : 32301-3049
Country : US
Telephone Number : 850-383-3405
Fax Number :
Provider Business Practice Location Address
First Line : 1491 GOVERNORS SQUARE BLVD
Second Line : STE 1200
City : TALLAHASSEE
State : FL
Zip : 32301-3049
Country : US
Telephone Number : 850-383-3405
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2006
Last Update Date : 03/05/2015

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Directions to “ KIT D KUSS MD” Practice Location

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