Individual
BRANDON JAMES KUKAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AT ATC
Contact information
Practice address
799 N HEWITT, YPSLINATI, MI 48197
(231) 335-3943
Mailing address
799 N HEWITT STE 142, YPSILANTI, MI 48197
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601001913
MI
Other
Enumeration date
08/22/2017
Last updated
03/17/2018
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