Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Breveenn Muthu Kukan

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1689434557

Breveenn Muthu Kukan is a Student in an Organized Health Care Education/Training Program in Waycross, Georgia. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

1900 Tebeau St
Waycross, GA 31501-6357
Phone: (707) 454-6791
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1689434557
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 19, 2024
Last updated in NPPESMarch 19, 2024
Certification dateMarch 19, 2024

Other providers in Waycross