Individual
MRS. CARISSA KUCALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
3800 PARK NICOLLET BLVD, ST LOUIS PARK, MN 55416-2527
(952) 993-1478
(952) 993-1250
Mailing address
3800 PARK NICOLLET BLVD, ST LOUIS PARK, MN 55416-2527
(952) 993-1478
(952) 993-1250
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
8610
MN
Other
Enumeration date
04/27/2011
Last updated
07/14/2016
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