Individual
DR. TIMOTHY RAY KUKLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1601 E 19TH AVE STE 3800, DENVER, CO 80218-1252
(303) 563-2755
(303) 861-6219
Mailing address
4900 S MONACO ST STE 210, DENVER, CO 80237-3487
(303) 563-2755
(303) 861-6219
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
48576
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
68627866
—
CO
Enumeration date
07/18/2006
Last updated
02/09/2022
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