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NPI Code Detail

MEDICARE: JOSEPH KEMP TULLIER DPM

MEDICARE: JOSEPH KEMP TULLIER DPM
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
1213E00000XPodiatristDPMPD0113LA
2213E00000XPodiatristPD0113LA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1183150OTHERLACOVENTRY
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
37550395OTHERLAAETNA

General Provider Information

NPI Number : 1598757551
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSEPH KEMP TULLIER DPM
Provider Business Mailing Address
First Line : 4630 BLUEBONNET BLVD
Second Line :
City : BATON ROUGE
State : LA
Zip : 70809-9632
Country : US
Telephone Number : 225-295-1027
Fax Number : 225-295-1491
Provider Business Practice Location Address
First Line : 4630 BLUEBONNET BLVD
Second Line :
City : BATON ROUGE
State : LA
Zip : 70809-9632
Country : US
Telephone Number : 225-295-1027
Fax Number : 225-295-1491
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2005
Last Update Date : 03/06/2025

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Directions to “ JOSEPH KEMP TULLIER DPM” Practice Location

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