Active NPI
Larry Kulick, L. AC
- Acupuncturist
- Spokane, WA
National Provider Identifier
1205046356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC00000518
- Practice address
- 3430 S Grand Blvd
Spokane, WA 99203-2621 - Phone
- (509) 624-4937
- Fax
- (509) 456-3730
- NPI assigned
- May 23, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC00000518 | WA | Primary |
Addresses
Primary practice location
3430 S Grand Blvd
Spokane, WA 99203-2621
Mailing address
PO Box 1071
Spokane, WA 99210-1071
Phone (509) 624-4937
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC00000518 | WA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1205046356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1071",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992101071",
"telephone_number": "509-624-4937",
"fax_number": "509-456-3730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3430 S GRAND BLVD",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992032621",
"telephone_number": "509-624-4937",
"fax_number": "509-456-3730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KULICK",
"first_name": "LARRY",
"credential": "L. AC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "WA",
"license": "AC00000518",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.