Individual
MR. JEFFREY P KULSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
50 MOISEY DR STE 103, HAZLE TOWNSHIP, PA 18202-9297
(570) 501-6580
(570) 501-6598
Mailing address
PO BOX 783311, PHILADELPHIA, PA 19178-3311
(484) 884-4500
(484) 884-0699
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN512608L
PA
363LF0000X
Family Nurse Practitioner
Primary
SP010184
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102378306-0003
—
PA
Enumeration date
02/05/2009
Last updated
02/13/2020
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