JACQUELYN MICHELLE KUKULSKI

MUNSTER, IN
NPI1215499249
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: IN  02007548A)
Additional Taxonomies208000000X Pediatrics
(Licence: IL  125.074969)
208000000X Pediatrics
(Licence: IL  036.157681)
Enumeration Date2019-04-01
Last Update Date2024-12-30
Business Address
JACQUELYN MICHELLE KUKULSKI DO
10240 CALUMET AVE FL 2
MUNSTER, IN 46321-4082
Phone number: 219-922-9150
Mailing Address
JACQUELYN MICHELLE KUKULSKI DO
8558 BROADWAY
MERRILLVILLE, IN 46410-7032
Phone number: 219-392-7084