Individual
KEVIN MICHAEL KULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2640 CHANNING WAY, IDAHO FALLS, ID 83404-7517
(435) 757-0335
Mailing address
3752 CITRUS DR, IDAHO FALLS, ID 83404-1233
(435) 757-0335
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-6165
ID
Other
Enumeration date
05/29/2019
Last updated
05/29/2019
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