Individual
DR. CARL S KUKIELKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
10025 GOVERNOR WARFIELD PKWY, SUITE 103, COLUMBIA, MD 21044-3340
(410) 772-5412
(410) 828-2018
Mailing address
707 S PRESIDENT ST, APT 634, BALTIMORE, MD 21202-4474
(410) 772-5412
(410) 828-2018
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TA0752
MD
Other
Enumeration date
04/06/2007
Last updated
07/08/2007
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