DR. Kevin Leo Kukla, O.D.

NPI #1811031966 in Waukegan, Illinois

Provider Information

NPI Number: 1811031966
Entity Type: Individual
Name: DR. Kevin Leo Kukla, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Feb 19, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 3104 N LEWIS AVE
City: Waukegan
State: Illinois
ZIP Code: 60087-2231
Phone: (847) 599-1185

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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