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NPI Code Detail

MEDICARE: KIRSTIE LEA KAUKER

MEDICARE: KIRSTIE LEA KAUKER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1221700000XArt Therapist

General Provider Information

NPI Number : 1770238115
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIRSTIE LEA KAUKER
Provider Business Mailing Address
First Line : 4451 W SWAMP RD
Second Line :
City : DOYLESTOWN
State : PA
Zip : 18902-1079
Country : US
Telephone Number : 215-910-1375
Fax Number :
Provider Business Practice Location Address
First Line : 4451 W SWAMP RD
Second Line :
City : DOYLESTOWN
State : PA
Zip : 18902-1079
Country : US
Telephone Number : 215-822-1975
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/15/2022
Last Update Date : 02/15/2022

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Directions to “ KIRSTIE LEA KAUKER ” Practice Location

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