Individual
DR. KELLY V. KUKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
12805 STATE HIGHWAY 55, SUITE 208, PLYMOUTH, MN 55441
(763) 557-7399
Mailing address
9035 BLAISDELL AVE S, BLOOMINGTON, MN 55420-3617
(612) 644-7193
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4632
MN
Other
Enumeration date
11/16/2006
Last updated
09/26/2012
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