Individual
JENNIFER MARIE KULUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
FAIRVIEW URGENT CARE - EAGAN, 1440 DUCKWOOD DRIVE, EAGAN, MN 55122
(651) 406-8860
(651) 406-8870
Mailing address
19957 DOVER DRIVE, FARMINGTON, MN 55024
(651) 463-2323
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1068165
MN
Other
Enumeration date
01/08/2007
Last updated
07/08/2007
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