MARY KUKOLICH, MD

Medical Genetics - Clinical Genetics (M.D.)

Active Individual
NPI: 1912918111

Practice Address

750 8TH AVE STE 200
Fort Worth, TX 76104

Phone: (682) 885-2170

Specialties

Specialty Code Primary License
Pediatrics 208000000X No E5817 (TX)
Medical Genetics - Clinical Genetics (M.D.) 207SG0201X Yes E5817 (TX)

Frequently Asked Questions

NPI 1912918111 is the National Provider Identifier for MARY KUKOLICH, MD, a Medical Genetics - Clinical Genetics (M.D.) provider located in Fort Worth, TX. This NPI was enumerated on August 11, 2006.
MARY KUKOLICH, MD practices at 750 8TH AVE STE 200, Fort Worth, TX 76104.

Quick Facts

NPI
1912918111
Type
Individual
Enumerated
Aug 11, 2006
Last Updated
May 17, 2021

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