Individual
KAREN ELAINE KUKIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 INTREPID AVE, PHILADELPHIA, PA 19112-1229
(610) 524-7525
Mailing address
1200 INTREPID AVE, PHILADELPHIA, PA 19112-1229
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
271347
CA
Other
Enumeration date
10/19/2022
Last updated
10/19/2022
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