Kulow, Keith Raymond
Kulow, Keith Raymond is an individual health care provider with primary practice located at 401 W Maxwell Blvd , Maxwell Afb AL 36112-5977. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Kulow, Keith Raymond can be contacted via phone (334) 953-5714.Contact Information
Primary practice address
401 W Maxwell Blvd
Maxwell Afb AL 36112-5977
Phone: (334) 953-5714
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 35-031006 | Ohio |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 013646 | Georgia |
Profile Details
| NPI number | 1740273135 |
|---|---|
| LBN Legal business name | Kulow, Keith Raymond |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2005 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740273135 | NPPES |
| Other | DMIS CODE 0004 | MILITARY PROVIDER CODE |
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