Individual
MR. ANDREW KUKLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED, A.T.,C
Contact information
Practice address
2500 MAIN ST, KENNEDY HOUSE, LAWRENCEVILLE, NJ 08648-1600
(814) 504-2037
Mailing address
2500 MAIN ST, KENNEDY HOUSE, LAWRENCEVILLE, NJ 08648-1600
(814) 504-2037
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00152600
NJ
Other
Enumeration date
03/04/2014
Last updated
03/04/2014
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