Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KATIE ANN PICUCCI, DO
ActiveKATIE ANN PICUCCI, DO is a Family Medicine healthcare provider located in KINGSFORD, Michigan. NPI 1649462391 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · KINGSFORD, MI
Registration Details
- NPI Number
- 1649462391
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 16, 2007 (18.81355235086 yrs)
- Last Updated
- Oct 2, 2018
- License
-
5101017482 (MI)
Practice Information
- Address
-
800 EAST BLVDKINGSFORD, MI, 498024436Browse MI providers · Browse ZIP 49802
- Phone
- 9067744000
- Fax
- 9067740088
- Primary Specialty
-
Family Medicine
207Q00000X
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.