Healthcare Provider Details

I. General information

NPI: 1053387357
Provider Name (Legal Business Name): KAY FRANCES HULEN RN
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 02/27/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7500 COCHRANE CIRCLE
FORT CARSON CO
80913
US

IV. Provider business mailing address

7116 BONNIE BRAE LN
COLORADO SPRINGS CO
80922-3138
US

V. Phone/Fax

Practice location:
  • Phone: 719-526-7816
  • Fax: 719-526-7676
Mailing address:
  • Phone: 719-390-4538
  • Fax: 719-526-7676

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License Number36999
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: