Carissa A Kucala
- Female
Medical Specialty
Professional ID
- NPI: 1831480607
- PECOS ID: 9830368588
- Enrollment ID: I20110815000067
- Credential(MD, DO, DPM):
- Medical School:
- Medical School Graduation Year: 2011
Medical Practices
- Organization Name: Park Nicollet Clinic
- Group Practice ID assigned by PECOS: 7911819438
- Number of Group Practice member: 1271
Location
- Address1: 3800 Park Nicollet Blvd
- Address2:
- City: Saint Louis Park
- State: Minnesota
- Zip Code: 55416
- Phone Number: (952)993-1000
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
- Used Electronic health record (EHR):