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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1689672040 NPPES
Florida MEDICAID 114009000
Florida Other SATZW

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