SLADE KUCKENBAKER

TEMPLE, TX
NPI1427750769
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: TX  W0946)
Enumeration Date2023-03-20
Last Update Date2026-04-15
Business Address
SLADE KUCKENBAKER DO
2401 S 31ST ST # MSAG407Q
TEMPLE, TX 76508-0002
Phone number: 254-724-2585
Mailing Address
SLADE KUCKENBAKER DO
2401 S 31ST ST # MSAG407Q
TEMPLE, TX 76508-0002
Phone number:
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