Individual
DR. GARY KULAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
970 N SPOEDE RD, 37, SAINT LOUIS, MO 63146-5567
(314) 991-9139
Mailing address
970 N SPOEDE RD, 37, SAINT LOUIS, MO 63146-5567
(314) 991-9139
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2002002061
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
193400000X
RETIRED-PSYCHIATRIST
MO
Enumeration date
08/20/2009
Last updated
08/20/2009
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