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MATTHEW R KUGELMAN HS
>> Military Health Care Provider >> Other Service ProvidersRegistrant NPI Number: 1437369584
Individual Registrant: MATTHEW R KUGELMAN HS
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
6037 PRICE AVE MCCLELLAN, CA 95652-2400 US
Tel: 916-561-7568 Fax: 916-561-7568
Tel: 916-561-7568 Fax: 916-561-7568
Contact information for business:
6037 PRICE AVE MCCLELLAN, CA 95652-2400 US
Tel: 916-561-7568 Fax: 916-561-7568
Tel: 916-561-7568 Fax: 916-561-7568
Registration Information:
NPI: 1437369584
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 171000000X | Other Service Providers Military Health Care Provider |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
