Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSICA KOLUCH
Active Sole ProprietorJESSICA KOLUCH is a Community Health Worker healthcare provider located in NECEDAH, Wisconsin. NPI 1245581289 is currently active in the NPPES registry. Verify at CMS.
Community Health Worker · NECEDAH, WI
Registration Details
- NPI Number
- 1245581289
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 1, 2012 (13.894503616401 yrs)
- Last Updated
- Oct 1, 2012
- License
-
0014118 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
N11893 12TH AVENECEDAH, WI, 546467528Browse WI providers · Browse ZIP 54646
- Phone
- 6085482342
- Primary Specialty
-
Community Health Worker
172V00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.