Kristina Kulak is a Pediatrics in Philadelphia, Pennsylvania. Kristina Kulak practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Kristina Kulak is 1881767317. The last update date is 2007-07-09.
Kristina Kulak's current location address is 4641 Roosevelt Blvd, Philadelphia, Pennsylvania. You can contact this provider via phone number 2158313050 and fax number 2158313065. The mailing address for Kristina Kulak is 4641 Roosevelt Blvd, Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kristina Kulak |
|---|---|
| Address | 4641 Roosevelt Blvd, Philadelphia, Pennsylvania |
| Phone Number | 2158313050 |
| Fax Number | 2158313065 |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1881767317 |
|---|---|
| Provider Enumeration Date | 2006-11-15 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 4641 Roosevelt Blvd |
|---|---|
| City | Philadelphia |
| State | Pennsylvania (PA) |
| Post Code | 191242343 |
| Phone Number | 2158313050 |
| Fax Number | 2158313065 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 225Xp0200X |
| Licence No | OC004562L |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 19365620002 | PA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Kristina Kulak?
The Kristina Kulak has been issued the NPI (National Provider Identifier) 1881767317 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Kristina Kulak?
The Kristina Kulak is physically situated at 4641 Roosevelt Blvd, in the city of Philadelphia, state of PA, with the postal code 191242343.
What is Kristina Kulak's area of expertise and its corresponding taxonomy classification?
The Kristina Kulak's field of specialization is Pediatrics, and it falls under the taxonomy code 225Xp0200X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1881767317 to Kristina Kulak?
The Kristina Kulak received its 1881767317 assignment from the Centers for Medicare & Medicaid Services on 2006-11-15.
When was the information pertaining to Kristina Kulak most recently updated or revised?
The details related to Kristina Kulak, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-09.