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Individual

JESSICA LEE KULAK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
133 BARNWOOD DR, EDGEWOOD, KY 41017-2500
(859) 331-9600
Mailing address
8923 ROAN LN, CINCINNATI, OH 45242-5441
(859) 331-9600

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
TRN10480
FL
207YS0123X
Facial Plastic Surgery Physician
Primary
44925
KY

Other

Enumeration date
10/22/2008
Last updated
03/23/2012
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