MEDICARE: DAVID L KULLING M.D.

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
1	207P00000X	Emergency Medicine Physician	MD038757L	PA
2	207Q00000X	Family Medicine Physician	MD038757L	PA
3	207Q00000X	Family Medicine Physician	0101268076	VA
4	207Q00000X	Family Medicine Physician	29272	WV

General Provider Information

NPI Number	:	1528028800
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID L KULLING M.D.

Provider Business Mailing Address
First Line	:	452 PEACE PIPE LN
Second Line	:
City	:	HEDGESVILLE
State	:	WV
Zip	:	25427-6637
Country	:	US
Telephone Number	:	814-577-4615
Fax Number	:

Provider Business Practice Location Address
First Line	:	452 PEACE PIPE LN
Second Line	:
City	:	HEDGESVILLE
State	:	WV
Zip	:	25427-6637
Country	:	US
Telephone Number	:	814-577-4615
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/23/2006
Last Update Date	:	01/23/2023

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