Individual
JEFFREY T KULP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2350 INTERNATIONAL CIR, COLORADO SPRINGS, CO 80910
(719) 475-5065
(719) 475-5797
Mailing address
2350 INTERNATIONAL CIR, COLORADO SPRINGS, CO 80910
(719) 475-5065
(719) 475-5797
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
30216
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01302165
—
CO
Enumeration date
05/23/2005
Last updated
05/02/2012
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