Organization Active NPI

Kevin B. Kulick M.D.,P.C.

  • Dermatology Physician
  • Buffalo, NY
National Provider Identifier
1619935301
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
KEVIN B. KULICK M.D.,P.C.
Practice address
3839 Delaware Ave
Buffalo, NY 14217-1040
Phone
(716) 874-2134
Fax
(716) 874-8023
NPI assigned
May 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Kevin Bradley Kulick, M.D.
Title
Physician
Phone
(716) 874-2134

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

3839 Delaware Ave
Buffalo, NY 14217-1040

Mailing address

3839 Delaware Ave
Buffalo, NY 14217-1040
Phone (716) 874-2134

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619935301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3839 DELAWARE AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142171040",
            "telephone_number": "716-874-2134",
            "fax_number": "716-874-8023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3839 DELAWARE AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142171040",
            "telephone_number": "716-874-2134",
            "fax_number": "716-874-8023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN B. KULICK M.D.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KULICK",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "BRADLEY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "716-874-2134",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.