Individual
GILBERT L KUKIELKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
211 SAINT FRANCIS DR STE 15, CAPE GIRARDEAU, MO 63703-5049
(573) 331-3333
(573) 331-3334
Mailing address
PO BOX 801143, KANSAS CITY, MO 64180-1143
(573) 331-5583
(573) 331-5079
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
2020012709
MO
207RI0011X
Interventional Cardiology Physician
Primary
2020012709
MO
Other
Enumeration date
07/15/2005
Last updated
08/08/2024
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