Provider Information for 1467126342
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
SHAWNDA KULIG
Sex: Female
NPI: 1467126342
Last Updated: 2021-08-04
Certification Date: 2021-07-12
Certification Date: 2021-07-12
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1467126342 | ||||||||
| Enumeration Date | 2021-08-04 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1501 S LOOP 288 SUITE 104 PMP 288 DENTON, TX 76205 United States Phone: 580-579-6715 | Fax: | ||||||||
| Primary Practice Address | 4408 SHARPS DR MCKINNEY, TX 75072-3698 United States Phone: 580-579-6715 | Fax: | ||||||||
| Secondary Practice Address(es) | |||||||||
| Health Information Exchange |
| ||||||||
| Other Identifiers |
| ||||||||
| Taxonomy |
|