Provider Demographics
NPI:1508132143
Name:CD KUKOR & ASSOCIATES
Entity Type:Organization
Organization Name:CD KUKOR & ASSOCIATES
Other - Org Name:ACCESSIBLE HOME HEALTH CARE OF FREDERICK
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CARMEN
Authorized Official - Middle Name:
Authorized Official - Last Name:KUKOR
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:301-766-4001
Mailing Address - Street 1:1185 MOUNT AETNA RD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:HAGERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21740-6832
Mailing Address - Country:US
Mailing Address - Phone:301-766-4001
Mailing Address - Fax:301-766-9324
Practice Address - Street 1:1185 MOUNT AETNA RD
Practice Address - Street 2:SUITE 300
Practice Address - City:HAGERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21740-6832
Practice Address - Country:US
Practice Address - Phone:301-766-4001
Practice Address - Fax:301-766-9324
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-28
Last Update Date:2012-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health