Individual
PEACE KULLERKUPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PARAMEDIC
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
129508
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
74-3156453
FEDERAL NUMBER
NY
Enumeration date
03/13/2018
Last updated
03/13/2018
Update your record
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