Jennifer Grace Kull, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

44144 Issued in AZ

Practice address

3933 E Edna Ave
102
Phoenix, AZ 85032-2127

Phone

(602) 569-5437

Fax

(602) 482-4640

NPI assigned

Oct 3, 2011

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1317600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317600000000",
    "number": "1215211776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3933 E EDNA AVE",
            "address_2": "102",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322127",
            "telephone_number": "602-569-5437",
            "fax_number": "602-482-4640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3933 E EDNA AVE",
            "address_2": "102",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322127",
            "telephone_number": "602-569-5437",
            "fax_number": "602-482-4640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KULL",
        "first_name": "JENNIFER",
        "middle_name": "GRACE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-03",
        "last_updated": "2011-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AZ",
            "license": "44144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peggy Antoinette Kulch, MS
• Lauren Kuliga
• Bogdan Michael Kulikowski, DMD
• Arathi Kulkarni
• Kavita Kulkarni, DDS
• Daniel Kullukian, M.D., SA-C
• Jerry Kulp
• Aditya Kumar, MD
• Akshaya Jayalakshmi Kumar, M.B.B.S
• Erin Christine Kumar, LCSW

• Specialist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Specialist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.