Stephen Kuclo, IHP L2, HPH, EMT-P

Primary specialty

NaturopathTaxonomy code 175F00000X

License

276794406 Issued in TX

Practice address

16633 Dallas Pkwy Ste 150
Addison, TX 75001-6812

Phone

(469) 999-6985

NPI assigned

Nov 21, 2024

Last updated

Dec 11, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Emergency Medical Technician - Paramedic

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1732147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1437974730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4109 REPUBLICAN BRANCH DR",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750789825",
            "telephone_number": "469-999-6985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16633 DALLAS PKWY STE 150",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750016812",
            "telephone_number": "469-999-6985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUCLO",
        "first_name": "STEPHEN",
        "credential": "IHP L2, HPH, EMT-P",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-11-21",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "TX",
            "license": "276794406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jasmine M Lacour
• Estela Landicho, P.T.

• Naturopath in Addison, TX
• Providers in Addison, TX by specialty
• Naturopath in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.