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Individual

KEN KULPA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RRT

Contact information

Practice address
1005 N KROME AVE, HOMESTEAD, FL 33030-4460
(305) 242-8122
Mailing address
1150 N LIBERTY AVE, UNIT G, HOMESTEAD, FL 33034-2691
(305) 910-7188

Taxonomy

Speciality
Code
Description
License number
State
2279C0205X
Critical Care Registered Respiratory Therapist
Primary
RT2776
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RT 2776
REGISTERED RESPIRATORY THERAPIST
FL
Enumeration date
05/12/2008
Last updated
05/12/2008
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