Individual
DR. IGOR KUKELYANSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5755 CEDAR LN, COLUMBIA, MD 21044
(443) 540-2277
Mailing address
1405 POINT ST APT 1712, BALTIMORE, MD 21231-3695
(443) 540-2277
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
D85599
MD
Other
Enumeration date
04/10/2014
Last updated
03/13/2019
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