Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mary K Kukolich, MD

Individual provider Pediatrics Physician · NPI 1912918111

Mary K Kukolich, MD is a Pediatric Medicine in Fort Worth, Texas. Graduated from Js Weill Medical College, Cornell University in 1971, 55 years ago. Practices with Cook Childrens Physician Network, a 301-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
55
Trained at
Js Weill Medical College, Cornell University
Licensed in
TX
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

750 8th Ave Ste 200
Fort Worth, TX 76104-2500
Phone: (682) 885-2170
Fax: (817) 335-8277
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Genetics (M.D.) Physician (primary) Taxonomy 207SG0201X · Licence E5817 (TX)
Pediatrics Physician Taxonomy 208000000X · Licence E5817 (TX)

Record details

NPI number1912918111
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 11, 2006
Last updated in NPPESMay 17, 2021
Certification dateMay 17, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Also practisesMEDICAL GENETICS AND GENOMICS
Medical schoolJS WEILL MEDICAL COLLEGE, CORNELL UNIVERSITY
Graduated 1971 (55 years in practice)
Group practice Cook Childrens Physician Network — 301 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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