MRS. JAN LANELL KUKUK (NPI# 1265781488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265781488 |
| Entity Type | Individual |
| Full Name | MRS. JAN LANELL KUKUK |
| Credential | LPN |
| Practice Address |
800 Fir St Perry OK 73077-4239 |
| Practice Telephone | 5803364474 |
| Practice Fax Number | 5803360108 |
| Mailing Telephone | 5803364474 |
| Mailing Fax Number | 5803360108 |
| Enumeration Date | 2012-09-04 |
| Last Update Date | 2012-09-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | L0028360 | OK | Nursing Service Providers |
| Street Address |
800 FIR ST |
| City | PERRY |
| State | OK |
| Zip Code | 73077-4239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558475665 | Perry Pharmacy Inc | Pharmacy | 800 Fir St, Perry, OK 73077-4239 | 2006-08-18 |
| 1386757821 | Stephen Kent Anderson | Pharmacist | 800 Fir St, Perry, OK 73077-4239 | 2006-08-17 |
| 1497868947 | Tracy Shannon Anderson | Pharmacist | 800 Fir St, Perry, OK 73077-4239 | 2006-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477009090 | Oklahoma State Deptartment of Health | Public Health or Welfare | 804 N. 7th St, Perry, OK 73077 | 2016-09-01 |
| 1538581699 | David Martin Reed | Physical Therapist | 1016 Fir Street, Perry, OK 73077 | 2014-01-09 |
| 1790034007 | Kayla Y. Wedel-lobsinger | Rehabilitation Counselor | 502 N. 14th St., Perry, OK 73077 | 2012-08-31 |
| 1841411683 | Angela Dawn Brand | Physical Therapist | 501 14th St N, Perry, OK 73077 | 2007-05-01 |
| 1063520260 | Perry Family Practice | Family Medicine | 505 14th St, Perry, OK 73077 | 2006-08-28 |
| 1629608641 | Brittaney Erin Ward | Peer Specialist | 501 Holly St, Perry, OK 73077-3421 | 2020-01-17 |
| 1356880876 | Bolay Speech Therapy, LLC | Speech-Language Pathologist | 804 N 7th St, Perry, OK 73077-4230 | 2017-02-16 |
| 1962941492 | Jordan L Bolay | Speech-Language Pathologist | 804 N 7th St, Perry, OK 73077-4230 | 2017-02-16 |
| 1497941439 | Lonnie Douglas Rutherford | Case Manager/Care Coordinator | 102 E Fir St, Perry, OK 73077-4900 | 2007-09-24 |
| 1508296567 | Amy Kukuk | Social Worker | 102 E Fir St, Perry, OK 73077-4900 | 2013-11-12 |
| Find all providers in zip 73077 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750734489 | Belinda Rutherford | Licensed Practical Nurse | 13810 Oakes Rd, Perry, MI 48872-9133 | 2016-07-18 |
| 1912353616 | Iris Danielle Turner | Licensed Practical Nurse | 1348 Fairway Dr, Perry, FL 32347-0970 | 2016-05-11 |
| 1144636259 | Marlene Elizabeth Beardslee | Licensed Practical Nurse | 6 Leicester St, Perry, NY 14530-1137 | 2014-07-09 |
| 1821413741 | Kevin Michael Hyland | Licensed Practical Nurse | 149 Main St N, Perry, NY 14530-1218 | 2014-02-28 |
| 1922443027 | Tara Joanne Demers | Licensed Practical Nurse | 3110 Ireland Rd, Perry, NY 14530-9584 | 2013-05-02 |
| 1710320338 | Christina Marie Hutson | Licensed Practical Nurse | 3380 Narrows Rd, Perry, OH 44081-9307 | 2013-04-12 |
| 1326381757 | Lisa A Sutton | Licensed Practical Nurse | 57 Borden Ave, Perry, NY 14530-1317 | 2013-04-04 |
| 1326329343 | Christel Gail Bryant | Licensed Practical Nurse | 3769 Ohio St, Perry, OH 44081-9551 | 2011-09-03 |
| 1487953543 | Sabrina Renea Allison | Licensed Practical Nurse | 5 Hawthorne St, Perry, NY 14530-1132 | 2011-03-15 |
| 1124322094 | Stephanie L Frazier | Licensed Practical Nurse | 4360 Magnolia Ave, Perry, OH 44081-9708 | 2011-01-06 |
| Find all providers in PERRY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.