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DR. MAX JOSEPH KUKLER DO NPI 1992972376


NPI Information

NPI: 1992972376
Provider Name: DR. MAX JOSEPH KUKLER, DO
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
4617 CHARDONNAY CT
ATLANTA, GA
ZIP 30338
Phone: (770) 604-9071
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DR. Max Joseph Kukler, DO is a family medicine in Atlanta, GA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Max Joseph Kukler, DO NPI is 1992972376. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4617 CHARDONNAY CT
ATLANTA, GA
ZIP 30338
Phone: (770) 604-9071
Fax: (770) 604-3034

The enumeration date for this NPI number is 5/14/2008 and was last updated on 5/14/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine5101005518MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1E26378MEDICARE UPINMICHIGAN
23441760MEDICAIDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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