Individual
KATHLEEN A KULUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1900 CENTRACARE CIR, SUITE 1300, SAINT CLOUD, MN 56303-5000
(320) 654-3610
(320) 654-3647
Mailing address
1900 CENTRACARE CIR, SUITE 1300, SAINT CLOUD, MN 56303-5000
(320) 654-3610
(320) 654-3647
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
37889
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1009043
PREFERRED ONE
—
01
—
110415
U CARE
—
01
—
1202265
MEDICA HEALTH PLANS
—
05
—
159225400
—
MN
01
—
2114177
FIRST HEALTH PLAN
—
01
—
51A36KU
BLUE CROSS BLUE SHIELD
—
01
—
763850
ARAZ GROUP AMERICAS PPO
—
05
—
7713410
—
SD
01
—
COMP
ONE HEALTH PLAN GREAT WES
—
01
—
HP25470
HEALTH PARTNERS
—
01
—
NE
RR MEDICARE
—
Enumeration date
11/07/2005
Last updated
06/02/2011
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