Provider Demographics
NPI:1447292859
Name:PATRICK F. KULINA, D.P.M.
Entity type:Organization
Organization Name:PATRICK F. KULINA, D.P.M.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:D.P.M./ OWNER/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:F
Authorized Official - Last Name:KULINA
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:302-645-8555
Mailing Address - Street 1:PO BOX 40450
Mailing Address - Street 2:
Mailing Address - City:BAY VILLAGE
Mailing Address - State:OH
Mailing Address - Zip Code:44140-0450
Mailing Address - Country:US
Mailing Address - Phone:440-871-4700
Mailing Address - Fax:440-871-4702
Practice Address - Street 1:550 S DUPONT BLVD
Practice Address - Street 2:SUITE F
Practice Address - City:MILFORD
Practice Address - State:DE
Practice Address - Zip Code:19963-1704
Practice Address - Country:US
Practice Address - Phone:302-422-1855
Practice Address - Fax:302-424-4988
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-11
Last Update Date:2012-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE000093213E00000X
DE1992105126332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE0000912150Medicaid
DECG3577OtherMEDICARE RAILROAD GROUP PIN NUMBER
DEU10884Medicare UPIN
DECG3577OtherMEDICARE RAILROAD GROUP PIN NUMBER
DEG00277Medicare PIN