Keith Raymond Kulow, M. D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

013646 Issued in GA

Practice address

401 W Maxwell Blvd
Maxwell Afb, AL 36112-5977

Phone

(334) 953-5714

NPI assigned

Aug 31, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1740273135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 649",
            "city": "SHALIMAR",
            "state": "FL",
            "postal_code": "325790649",
            "telephone_number": "850-609-0063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W MAXWELL BLVD",
            "city": "MAXWELL AFB",
            "state": "AL",
            "postal_code": "361125977",
            "telephone_number": "334-953-5714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KULOW",
        "first_name": "KEITH",
        "middle_name": "RAYMOND",
        "name_prefix": "Dr.",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-31",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35-031006",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "GA",
            "license": "013646",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MILITARY PROVIDER CODE",
            "identifier": "DMIS CODE 0004",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher W. Kelly, FNP-C APRN, MSN, MSM
• Ashley Khatri, M.A.,CCC-SLP
• Michael T. Kindt
• Amber Kochi, CRNP
• Eric Richard Korzen, PA-C
• Jenniffer Lynn Lapointe, M.D.
• Erin Hosty Lechner, FNP
• Beverly S Lesyea, LCSW
• Jennifer Renee Lewis
• Elaine Marie Liberti, PA-C

• General Practice Physician in Maxwell Afb, AL
• Providers in Maxwell Afb, AL by specialty
• General Practice Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.