John Kuckelman
John Kuckelman is a Thoracic Surgery in Joint Base Lewis McChord, Washington. Graduated from Des Moines University of Osteopathic Medicine and Health Sciences in 2014, 12 years ago. Practices with Franciscan Medical Group, a 1,417-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Georgia and Washington.
- Years since qualifying
- 12
- Trained at
- Des Moines University of Osteopathic Medicine and Health Sciences
- Licensed in
- GA, WA
- In the registry since
- 2014
- Specialties on file
- 3
Practice location Address checks out
9040 Jackson AveJoint Base Lewis McChord, WA 98431-1000
Phone: (253) 968-1110
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (2)
- 1120 15th St, Augusta, GA 30912-1000 — (706) 721-8623
- 9040 Fitzsimmons Dr, Joint Base Lewis McChord, WA 98431-1000 — (253) 968-0236
Specialties & licences
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (primary) | Taxonomy 208G00000X · Licence DO.OP.61502437-IMLC (WA) |
|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | Taxonomy 208G00000X · Licence 92772 (GA) |
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1669882304 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 3, 2014 |
| Last updated in NPPES | May 17, 2024 |
| Certification date | May 10, 2024 |
| Mailing address | 9040 Jackson Ave, Tacoma, WA 98431-0001 |
Medicare enrollment
| Medicare specialty | THORACIC SURGERY |
|---|---|
| Also practises | GENERAL SURGERY |
| Medical school | DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES |
| Graduated | 2014 (12 years in practice) |
| Group practice | Franciscan Medical Group — 1417 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |