Individual
KAREN KULLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3111 124TH AVE NW, COON RAPIDS, MN 55433-4572
(763) 236-7337
Mailing address
3111 124TH AVE NW, COON RAPIDS, MN 55433-4572
(763) 236-7337
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5297
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4600051
MEDICA
MN
01
—
9G934KLL
BCBS
MN
01
—
HP43892
HP
MN
Enumeration date
03/26/2007
Last updated
04/06/2020
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