Kukolich, Mary K

Kukolich, Mary K is an individual health care provider with primary practice located at 750 8Th Ave Ste 200 , Fort Worth TX 76104-2500. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.). Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) is her primary health care specialty. Kukolich, Mary K can be contacted via phone (682) 885-2170.

Contact Information

Primary practice address
750 8Th Ave Ste 200 Fort Worth TX 76104-2500
Phone: (682) 885-2170
Fax: (817) 335-8277
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X E5817 Texas
Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) 207SG0201X E5817 Texas

Profile Details

NPI number 1912918111
LBN Legal business name Kukolich, Mary K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2006
Last updated May 17th, 2021 - about 3 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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