Doctor Name: | MS. CAROL ANN KUGLER |
NPI Number: | 1700167053 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | R101865 |
Business Practice Address: | 2601 Gold Mine Rd Brookeville, MD - 208332238 |
Business Phone Number: | 3019084723 |
Business Fax Number: | 3014903929 |
Mailing Address: | Po Box 5267, LAUREL |
State: | MD |
Postal Code: | 207265267 |
Phone Number: | 3014703639 |
Fax Number: | 3014903929 |
NPI Enumeration Date: | 08/31/2011 |
NPI Last Update Date: | 08/31/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WN1003X |
License Number: | R101865 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Nutrition Support |
Taxonomy Definition: |