Individual
MR. KENNETH R. KUKLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, CCC-SLP
Contact information
Practice address
638 N BROAD ST, ELKHORN, WI 53121-1104
(262) 723-5804
(262) 723-5874
Mailing address
638 N BROAD ST, ELKHORN, WI 53121-1104
(262) 723-5804
(262) 723-5874
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2049-154
WI
Other
Enumeration date
06/10/2009
Last updated
06/10/2009
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