Individual
DR. KEVIN JAMES KULWICKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2419 W SOUTHLAKE BLVD, SOUTHLAKE, TX 76092-1505
(469) 535-6842
(817) 809-2661
Mailing address
2419 W SOUTHLAKE BLVD, SOUTHLAKE, TX 76092-1505
(469) 535-6842
(817) 809-2661
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
0450396
KS
207X00000X
Orthopaedic Surgery Physician
39357
WI
207X00000X
Orthopaedic Surgery Physician
43358
KY
207X00000X
Orthopaedic Surgery Physician
DR.0070287
CO
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
P7141
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3041952
—
OH
05
—
3810017020
—
WV
05
—
7100109090
—
KY
01
—
P00852990
RR MEDICARE
KY
Enumeration date
10/26/2005
Last updated
10/20/2025
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