Provider Demographics
NPI:1861458150
Name:KUKLINSKI, LOUISE HELEN (MD)
Entity Type:Individual
Prefix:
First Name:LOUISE
Middle Name:HELEN
Last Name:KUKLINSKI
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1244 FT WASHINGTON AVE
Mailing Address - Street 2:SUITE E2 FAMILY PRACTICE ASSOCIATES OF UPPER DUBLIN
Mailing Address - City:FT WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:19034
Mailing Address - Country:US
Mailing Address - Phone:215-646-1686
Mailing Address - Fax:215-628-4956
Practice Address - Street 1:1244 FT WASHINGTON AVE
Practice Address - Street 2:SUITE E2 FAMILY PRACTICE ASSOCIATES OF UPPER DUBLIN
Practice Address - City:FT WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:19034
Practice Address - Country:US
Practice Address - Phone:215-646-1686
Practice Address - Fax:215-628-4956
Is Sole Proprietor?:No
Enumeration Date:2006-04-25
Last Update Date:2018-03-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PA033333E207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA469331Medicare PIN
B42112Medicare UPIN