Healthcare Provider Details

I. General information

NPI: 1447292859
Provider Name (Legal Business Name): PATRICK F. KULINA, D.P.M.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2006
Last Update Date: 07/31/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 S DUPONT BLVD SUITE F
MILFORD DE
19963-1704
US

IV. Provider business mailing address

PO BOX 40450
BAY VILLAGE OH
44140-0450
US

V. Phone/Fax

Practice location:
  • Phone: 302-422-1855
  • Fax: 302-424-4988
Mailing address:
  • Phone: 440-871-4700
  • Fax: 440-871-4702

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number000093
License Number StateDE
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number1992105126
License Number StateDE

VIII. Authorized Official

Name: DR. PATRICK F KULINA
Title or Position: D.P.M./ OWNER/PHYSICIAN
Credential: DPM
Phone: 302-645-8555