Individual
GENE KICHKLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1220 HUNTINGTON DR, DUARTE, CA 91010
(626) 359-6618
Mailing address
3442 CASTLEFORD PL, ROWLAND HEIGHTS, CA 91748-5109
(626) 383-6080
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
25026
CA
Other
Enumeration date
01/31/2012
Last updated
12/04/2019
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