Individual
KARLA M KUKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1204 CLOQUET AVE, CLOQUET, MN 55720-1622
(218) 878-0805
Mailing address
5686 INDUSTRIAL RD, DULUTH, MN 55811-9728
(218) 729-9478
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5145
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00404701
MEDICARE RAILROAD
—
Enumeration date
03/22/2006
Last updated
11/21/2007
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