person
Michael Lamar Kukulka
Family Nurse Practitioner in Bloomington, Indiana
NPI 1356990915

Michael Lamar Kukulka is a Family Nurse Practitioner based in Anchorage, IN and is specialized in Family. Michael Lamar Kukulka practices in Bloomington, IN. The NPI Number for Michael Lamar Kukulka is 1356990915 and holds a License No. 195749 (Indiana).

The current practice location address for Michael Lamar Kukulka is 1355 W Bloomfield Rd Ste 3, Bloomington, IN and can be reached out via phone at 812-200-2789.

Location: 1355 W Bloomfield Rd Ste 3, Bloomington, IN, 99508-3772
person
Provider Profile Details
NPI Number
1356990915
Provider Name
Michael Lamar Kukulka
Credential
Provider Entity Type
Individual
Gender
Male
Address
1355 W Bloomfield Rd Ste 3, Bloomington, IN, 99508-3772
Phone Number
812-200-2789
Fax Number
Provider Enumeration Date
09/06/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1355 W Bloomfield Rd Ste 3
City
State
Zip
47403-2051
Phone Number
812-200-2789
Fax Number
person
Provider Business Mailing Address Details
Address
1355 W Bloomfield Rd Ste 3
City
State
Zip
47403-2051
Phone Number
812-200-2789
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
71009326A (Indiana)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
195749 (Alaska)
Definition
Definition to come...
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