Max Joseph Kukler, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

5101005518 Issued in MI

Practice address

4617 Chardonnay CT
Atlanta, GA 30338

Phone

(770) 604-9071

Fax

(770) 604-3034

NPI assigned

May 14, 2008

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210723200000",
    "number": "1992972376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4617 CHARDONNAY CT",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30338",
            "telephone_number": "770-604-9071",
            "fax_number": "770-604-3034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4617 CHARDONNAY CT",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30338",
            "telephone_number": "770-604-9071",
            "fax_number": "770-604-3034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUKLER",
        "first_name": "MAX",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-14",
        "last_updated": "2008-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101005518",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3441760",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rick A. Kuhlman, D.C.
• Amy Diane Kuhmichel, D.M.D
• Mallory Ann Kuhn
• Matthew Kuhnwald
• Won Jun Kuk, MD
• Abiodun Kukoyi, MD
• Preksha Kukreja
• William Ira Kulbersh
• Mona Shah Kulkarni, MD
• Nimay Kulkarni, MD

• Family Medicine Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.