Donald Kulas, M.D.
Individual provider Active NPI Pediatrics Physician · Crownpoint, NM
NPI 1407885635 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1407885635
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- NC-T654321 (NC)
- Practice address
- Junction Navajo Route 9, Highway 371
Crownpoint, NM 87313-0358 - Phone
- (505) 786-5291
- Fax
- (505) 786-6440
- NPI assigned
- Jul 1, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NC-T654321 | NC | MD | Pediatrics Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | NC-T654321 | NC | Yes |
Addresses
Primary practice location
Junction Navajo Route 9, Highway 371
Crownpoint, NM 87313-0358
Mailing address
PO Box 358
Crownpoint, NM 87313-0358
Phone (505) 786-5291
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 65000889 | Medicaid | NM |
Other providers in Crownpoint, NM
- David Josephs
- Abraham V Kalathil
- Monica Freund Kaufman
- Verna Ann Kenneth
- Kinyaani Home Care LLC
- Shirley Lee
- Maria A Leon-Gandara
- Matthew Liaw
- Christopher Looney
- Elizabeth Lynch
All providers in Crownpoint, NM · Pediatrics Physician in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.