TRACY KUTSENKOW, NP

Nurse Practitioner

Active Individual
NPI: 1699767020

Practice Address

2511 LOGAN ST
LOGAN STREET MEDICAL GROUP
Selma, CA 93662

Phone: (559) 896-2624

Specialties

Specialty Code Primary License
Nurse Practitioner 363L00000X Yes 308978 (CA)

Frequently Asked Questions

NPI 1699767020 is the National Provider Identifier for TRACY KUTSENKOW, NP, a Nurse Practitioner provider located in Selma, CA. This NPI was enumerated on August 22, 2005.
TRACY KUTSENKOW, NP practices at 2511 LOGAN ST, LOGAN STREET MEDICAL GROUP, Selma, CA 93662.

Quick Facts

NPI
1699767020
Type
Individual
Enumerated
Aug 22, 2005
Last Updated
May 7, 2008

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