DR. Carl S Kukielka, O.D.

NPI #1235251513 in Columbia, Maryland

Provider Information

NPI Number: 1235251513
Entity Type: Individual
Name: DR. Carl S Kukielka, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Apr 6, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 10025 GOVERNOR WARFIELD PKWY
Address 2: SUITE 103
City: Columbia
State: Maryland
ZIP Code: 21044-3340
Phone: (410) 772-5412

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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