Gregory Allen Kuld, BA, MA, MA

Individual provider Active NPI Specialist · Alturas, CA

NPI 1881241503 · NPPES record last updated Aug 19, 2019

Key facts

NPI
1881241503
Entity type
Individual (NPI type 1)
Primary specialty
Specialist 174400000X
Practice address
441 N Main St
Alturas, CA 96101-3457
Phone
(530) 233-6312
Fax
(530) 233-6339
NPI assigned
Aug 19, 2019
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Bachelor of Arts, Master of Arts

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Yes

Addresses

Primary practice location

441 N Main St
Alturas, CA 96101-3457

Mailing address

441 N Main St
Alturas, CA 96101-3457
Phone (530) 233-6312

Other providers in Alturas, CA

All providers in Alturas, CA · Specialist in California

Sources for this page

Verify at the official NPI Registry.