Individual
KALEY NICHOLE LULKOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1501 RED RIVER ST, AUSTIN, TX 78712-1845
(512) 495-5555
Mailing address
1400 N IH 35 STE C2.230, AUSTIN, TX 78701-1926
(512) 324-8221
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
764823
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/06/2021
Last updated
04/06/2023
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