Individual
KULLING NJI ABI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
901 SIMON LN APT 103, KENT, OH 44240-1742
(330) 990-8071
Mailing address
901 SIMON LN APT 103, KENT, OH 44240-1742
(330) 990-8071
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
PN134199M-IV
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.0029881
OH
Other
Enumeration date
05/18/2014
Last updated
12/15/2021
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