Kukoleck, Kevin

Kukoleck, Kevin is an sole proprietor health care provider with primary practice located at 3591 Reserve Commons Dr Ste 301 , Medina OH 44256-5334. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Kukoleck, Kevin can be contacted via phone (330) 764-7916.

Contact Information

Primary practice address
3591 Reserve Commons Dr Ste 301 Medina OH 44256-5334
Phone: (330) 764-7916
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 71006575 Illinois
Behavioral Health & Social Service Providers / Clinical 103TC0700X 29905 California
Behavioral Health & Social Service Providers / Clinical 103TC0700X 08214 Ohio

Profile Details

NPI number 1295821171
LBN Legal business name Kukoleck, Kevin
Credentials PSYD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 5th, 2006
Last updated Sep 23rd, 2021 - about 5 years ago

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.

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