Organization
AGEWELL MEDICAL ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY T KULP MD (OWNER)
(719) 475-5065
Entity
Organization
Contact information
Practice address
2350 INTERNATIONAL CIR, COLORADO SPRINGS, CO 80910-3139
(719) 475-5065
(719) 475-5797
Mailing address
2350 INTERNATIONAL CIR, COLORADO SPRINGS, CO 80910-3139
(719) 475-5065
(719) 475-5797
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
04/02/2007
Last updated
07/30/2012
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