Individual
DR. DEBORAH KAY KUKAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3757 S GREYSTONE AVE, SPRINGFIELD, MO 65804-6511
(417) 877-7500
Mailing address
1256 S SUGAR HILL PL, SPRINGFIELD, MO 65809-2026
(417) 827-8781
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
01228
MO
Other
Enumeration date
07/11/2006
Last updated
07/08/2007
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