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Individual

DR. KATHLEEN L. KULISEK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.M.D.

Contact information

Practice address
1611 PEACH STREET, SUITE 210, ERIE, PA 16501
(814) 454-0001
(814) 454-0025
Mailing address
1611 PEACH STREET, SUITE 210, ERIE, PA 16501
(814) 454-0001
(814) 454-0025

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS024652L
PA

Other

Enumeration date
08/30/2006
Last updated
08/22/2016
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