Individual
MS. MARCY A. KULIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
600 WHITNEY RANCH DR STE A1, HENDERSON, NV 89014-2631
(702) 566-0333
(702) 566-0315
Mailing address
600 WHITNEY RANCH DR STE A1, HENDERSON, NV 89014-2631
(702) 566-0333
(702) 566-0315
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
NV7987
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002019884
—
NV
Enumeration date
10/28/2006
Last updated
09/04/2012
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