Provider Demographics
NPI:1811969652
Name:KUGLER, KY EDWARD (EDD, ATC)
Entity type:Individual
Prefix:DR
First Name:KY
Middle Name:EDWARD
Last Name:KUGLER
Suffix:
Gender:M
Credentials:EDD, ATC
Other - Prefix:
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Mailing Address - Street 1:2256 WOODHOLLOW LN
Mailing Address - Street 2:
Mailing Address - City:CHINO HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91709-1023
Mailing Address - Country:US
Mailing Address - Phone:714-997-6642
Mailing Address - Fax:714-744-7035
Practice Address - Street 1:1 UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92866-1005
Practice Address - Country:US
Practice Address - Phone:714-997-6642
Practice Address - Fax:714-744-7035
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-06
Last Update Date:2015-12-22
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer