Individual
JOSEPH KULPEKSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
149 DRINKWATER RD, BAY ST LOUIS, MS 39520-1658
(228) 467-8600
Mailing address
149 DRINKWATER RD, BAY ST LOUIS, MS 39520-1658
(573) 359-2930
(573) 359-1304
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
E2296
AR
207R00000X
Internal Medicine Physician
117451
MO
207R00000X
Internal Medicine Physician
Primary
25600
MS
207R00000X
Internal Medicine Physician
E-2296
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000033032
MEDICARE PTAN
MO
05
—
139330001
—
AR
Enumeration date
04/26/2006
Last updated
07/16/2019
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