Healthcare Provider Details

I. General information

NPI: 1437577707
Provider Name (Legal Business Name): RACHEL K HULICK M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: RACHEL EVE KUNKLER MD

II. Dates (important events)

Enumeration Date: 04/02/2014
Last Update Date: 05/18/2021
Certification Date: 05/18/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8140 MCKENZIE AVE
PANAMA CITY FL
32404-4299
US

IV. Provider business mailing address

2451 FILLINGIM ST MST 709
MOBILE AL
36617-2238
US

V. Phone/Fax

Practice location:
  • Phone: 443-562-5049
  • Fax:
Mailing address:
  • Phone: 251-471-7990
  • Fax: 251-471-7022

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberME149393
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: