Individual
MR. TIMOTHY ADAM KULPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DAT, LAT, ATC
Contact information
Practice address
133 N RIVER ST, WILKES BARRE, PA 18711-0800
(570) 208-5900
(570) 208-6016
Mailing address
133 N RIVER ST, WILKES BARRE, PA 18711-0800
(570) 208-5900
(570) 208-6016
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT004005
PA
Other
Enumeration date
04/03/2007
Last updated
06/29/2020
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