Individual
THOMAS KULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
405 E 5TH ST, WATERLOO, IA 50703-5705
(338) 370-0719
(515) 220-2272
Mailing address
405 E 5TH ST, WATERLOO, IA 50703-5705
(183) 337-0071
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
01/25/2024
Last updated
01/25/2024
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