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Individual

KATELYN ESTELLE KULAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
12530 USF BULL RUN DRIVE, TAMPA, FL 33620-8512
(813) 821-8038
(813) 974-0483
Mailing address
8335 47TH STREET CIR E, PALMETTO, FL 34221-8512
(205) 907-4275

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-156750
AL
363L00000X
Nurse Practitioner
Primary
11028873
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
120708900
FL
01
PH3X6
BCBS
FL
Enumeration date
03/28/2019
Last updated
02/15/2024
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