Provider Demographics
NPI:1073948303
Name:KUKLA, CATHERINE BAIRD (MED)
Entity Type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:BAIRD
Last Name:KUKLA
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 PHEASANT DR
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-3320
Mailing Address - Country:US
Mailing Address - Phone:828-450-1787
Mailing Address - Fax:
Practice Address - Street 1:6 PHEASANT DR
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-3320
Practice Address - Country:US
Practice Address - Phone:828-450-1787
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-05
Last Update Date:2013-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist