Healthcare Provider Details

I. General information

NPI: 1174844047
Provider Name (Legal Business Name): KAREN ZULKOWSKI DNS, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/15/2010
Last Update Date: 06/15/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31 SNOWY LN
RED LODGE MT
59068-9645
US

IV. Provider business mailing address

31 SNOWY LN
RED LODGE MT
59068-9645
US

V. Phone/Fax

Practice location:
  • Phone: 406-671-2909
  • Fax:
Mailing address:
  • Phone: 406-671-2909
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WW0000X
TaxonomyWound Care Registered Nurse
License Number24372
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: