Individual
DR. ERIC MICHAEL KULICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8340 MISSION RD, SUITE 210, PRAIRIE VILLAGE, KS 66206-1355
(913) 642-0100
(913) 642-0176
Mailing address
8340 MISSION RD, SUITE 210, PRAIRIE VILLAGE, KS 66206-1355
(913) 642-0100
(913) 642-0176
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
04-18411
KS
2084P0800X
Psychiatry Physician
104206
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19566019
BLUE SHIELD OF KC
MO
01
—
700616
BLUE SHIELD OF KANSAS
KS
Enumeration date
07/27/2006
Last updated
07/08/2007
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