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Individual

KAYLA JEAN KUKAHIKO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
123 E MAIN ST, PROVIDENCE, KY 42450-1268
(270) 515-8080
(270) 515-8082
Mailing address
PO BOX 445, HARTFORD, KY 42347-0445
(270) 515-8080
(270) 515-8082

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
006147
KY

Other

Enumeration date
12/12/2012
Last updated
07/28/2016
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