Kukulka, Michael Lamar

Kukulka, Michael Lamar is an individual health care provider with primary practice located at 1355 W Bloomfield Rd Ste 3 , Bloomington IN 47403-2051. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Kukulka, Michael Lamar can be contacted via phone (812) 200-2789.

Contact Information

Primary practice address
1355 W Bloomfield Rd Ste 3 Bloomington IN 47403-2051
Phone: (812) 200-2789
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 195749 Alaska
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 71009326A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71009326A Indiana

Profile Details

NPI number 1356990915
LBN Legal business name Kukulka, Michael Lamar
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2019
Last updated Aug 2nd, 2023 - 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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