Individual
KIMBERLY KUKLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN-66187
HI
363LF0000X
Family Nurse Practitioner
Primary
APRN-2395
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CMG799
—
AK
05
—
HC2563
—
AK
05
—
HH2711
—
AK
05
—
MS0272
—
AK
05
—
NA3799
—
AK
Enumeration date
05/27/2010
Last updated
05/01/2018
Update your record
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