Kukulka, Rick Allen
Kukulka, Rick Allen is an individual health care provider with primary practice located at 5326 Swift River Ct , Bradenton FL 34208-5463. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Kukulka, Rick Allen can be contacted via phone (308) 660-5567.Contact Information
Primary practice address
5326 Swift River Ct
Bradenton FL 34208-5463
Phone: (308) 660-5567
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 24735 | Nebraska |
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 35063049 | Ohio |
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | ME 92993 | Florida |
Profile Details
NPI number | 1689672040 |
---|---|
LBN Legal business name | Kukulka, Rick Allen |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 11th, 2005 |
Last updated | Apr 29th, 2022 - about 2 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1689672040 | NPPES |
Florida | MEDICAID | 114009000 | |
Florida | Other | SATZW |
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