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NPI Code Detail

MEDICARE: DR. KEVIN ARTHUR RULLMAN DO

MEDICARE: DR. KEVIN ARTHUR RULLMAN DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician20A8101CA

General Provider Information

NPI Number : 1497809669
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KEVIN ARTHUR RULLMAN DO
Provider Business Mailing Address
First Line : 506 LAKE ST
Second Line :
City : KENAI
State : AK
Zip : 99611-6937
Country : US
Telephone Number : 907-714-4025
Fax Number : 907-335-0064
Provider Business Practice Location Address
First Line : 506 LAKE ST
Second Line :
City : KENAI
State : AK
Zip : 99611-6937
Country : US
Telephone Number : 907-714-4025
Fax Number : 907-335-0064
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2007
Last Update Date : 01/02/2012

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Directions to “ DR. KEVIN ARTHUR RULLMAN DO” Practice Location

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