Individual
DR. JEFFREY DAVID KUKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM. D.
Contact information
Practice address
11011 MANKLIN CREEK RD, BERLIN, MD 21811-4010
(410) 641-5858
(410) 641-8920
Mailing address
1604 MERCERS WAY, BERLIN, MD 21811-9486
(410) 713-2162
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17154
MD
Other
Enumeration date
03/09/2011
Last updated
03/09/2011
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