Kulak, Kristina

Kulak, Kristina is an sole proprietor health care provider with primary practice located at 4641 Roosevelt Blvd , Philadelphia PA 19124-2343. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Kulak, Kristina can be contacted via phone (215) 831-3050.

Contact Information

Primary practice address
4641 Roosevelt Blvd Philadelphia PA 19124-2343
Phone: (215) 831-3050
Fax: (215) 831-3065
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X OC004562L Pennsylvania

Profile Details

NPI number 1881767317
LBN Legal business name Kulak, Kristina
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 15th, 2006
Last updated Jul 9th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881767317 NPPES
Pennsylvania MEDICAID 0019365620002

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