Kukielka, Gilbert L
Kukielka, Gilbert L is an sole proprietor health care provider with primary practice located at 211 Saint Francis Dr Ste 15 , Cape Girardeau MO 63703-5049. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Kukielka, Gilbert L can be contacted via phone (573) 331-3333.Contact Information
Primary practice address
211 Saint Francis Dr Ste 15
Cape Girardeau MO 63703-5049
Phone: (573) 331-3333
Fax: (573) 331-3334
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 2020012709 | Missouri |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 35077124 | Ohio |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 2020012709 | Missouri |
Profile Details
| NPI number | 1710986427 |
|---|---|
| LBN Legal business name | Kukielka, Gilbert L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 15th, 2005 |
| Last updated | May 25th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710986427 | NPPES |
| Ohio | MEDICAID | 2159962 | |
| Ohio | MEDICAID | 1802669000 | |
| Ohio | Other | P01060288 | |
| Ohio | Other | P01184282 |
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