Healthcare Provider Details
I. General information
NPI: 1386842227
Provider Name (Legal Business Name): DANIEL JOSEPH HULSE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 07/03/2007
Last Update Date: 03/07/2025
Certification Date: 03/07/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
119 W IRON AVE FL 5
SALINA KS
67401-2600
US
IV. Provider business mailing address
119 W IRON AVE FL 5
SALINA KS
67401-2600
US
V. Phone/Fax
- Phone: 785-827-9526
- Fax: 785-827-2854
- Phone: 785-827-9526
- Fax: 785-827-2854
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2085R0202X |
| Taxonomy | Diagnostic Radiology Physician |
| License Number | 0434342 |
| License Number State | KS |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: