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BREVEENN MUTHU KUKAN
NPI 1689434557
Student in an Organized Health Care Education/Training Program in Waycross, GA

Active since March 19, 2024
1900 TEBEAU ST, WAYCROSS, GA 31501(707) 454-6791 Get Directions Write a Review

NPPES record last updated: March 19, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Breveenn Muthu Kukan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BREVEENN MUTHU KUKAN (NPI 1689434557) is an individual student in an organized health care education/training program in Waycross, Georgia and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1689434557
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBREVEENN MUTHU KUKAN
Location Address1900 TEBEAU STWaycross, GA 31501-6357
Mailing Address1900 Tebeau StWaycross, GA 31501-6357 · (707) 454-6791
Phone(707) 454-6791
Sole ProprietorNo
Enumeration DateMarch 19, 2024
NPPES CertifiedMarch 19, 2024
✔ NPI 1689434557 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1900 TEBEAU ST, Waycross, GA 31501
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KIMBERLY SOLANA MATHURIN MD
Student in an Organized Health Care Education/Training Program
1900 TEBEAU ST
WAYCROSS, GA 31501
Ware County (912) 287-4168
SOUTHEAST GEORGIA HEALTH SERVICES, L.L.C.
Psychiatric Unit
1900 TEBEAU ST
WAYCROSS, GA 31501
Ware County (912) 283-3030
HECTOR KEVIN GONZALEZ FAJARDO MD
Internal Medicine
1900 TEBEAU ST
WAYCROSS, GA 31501
Ware County (912) 283-3030
JENNIFER DAWN CAMPBELL RN
Registered Nurse (Emergency)
1900 TEBEAU ST
WAYCROSS, GA 31501
Ware County (912) 287-2555
LYDIA AULTMAN REGISTERED DIETITIAN
Dietitian, Registered
1900 TEBEAU ST
WAYCROSS, GA 31501
Ware County (912) 287-4271
WILLIAM MONROE ROUSE JR. APRN-BC
Nurse Practitioner (Acute Care)
1900 TEBEAU ST
WAYCROSS, GA 31501
Ware County (912) 283-3030
TARA D SMITH APRN,FNP-C, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1900 TEBEAU ST
WAYCROSS, GA 31501
Ware County (912) 338-6338
DR. JASON SPRINGER D.O
Emergency Medicine
1900 TEBEAU ST
WAYCROSS, GA 31501
Ware County (330) 837-7200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Breveenn Kukan's NPI number?

The NPI number for Breveenn Kukan is 1689434557. It was assigned to this individual provider in the NPPES registry on March 19, 2024.

Where is Breveenn Kukan located?

Breveenn Kukan practices at 1900 Tebeau St, Waycross, GA 31501. The listed phone number is (707) 454-6791.

What is Breveenn Kukan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Breveenn Kukan was last updated on March 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.