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NPI Code Detail

MEDICARE: MRS. KATHERINE MCDANIEL KULENIC FNP-BC

MEDICARE:  MRS. KATHERINE MCDANIEL KULENIC  FNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner5004865NC

General Provider Information

NPI Number : 1083918841
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KATHERINE MCDANIEL KULENIC FNP-BC
Provider Business Mailing Address
First Line : 3612 SHANNON RD STE 105
Second Line :
City : DURHAM
State : NC
Zip : 27707-6333
Country : US
Telephone Number : 919-419-0242
Fax Number : 919-401-4172
Provider Business Practice Location Address
First Line : 3612 SHANNON RD
Second Line : SUITE # 105
City : DURHAM
State : NC
Zip : 27707-6329
Country : US
Telephone Number : 919-419-0242
Fax Number : 919-401-4172
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/07/2011
Last Update Date : 06/16/2026

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Directions to “ MRS. KATHERINE MCDANIEL KULENIC FNP-BC” Practice Location

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