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NPI Code Detail

MEDICARE: DR. JONATHAN AARON KULLNAT M.D.

MEDICARE: DR. JONATHAN AARON KULLNAT 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
12085N0700XNeuroradiology PhysicianC175165CA
22085N0700XNeuroradiology PhysicianMD60209727WA
32085R0202XDiagnostic Radiology PhysicianMD60209727WA
42085R0202XDiagnostic Radiology PhysicianRT 1621NH
52085R0202XDiagnostic Radiology Physician4301505566MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1700981966
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JONATHAN AARON KULLNAT M.D.
Provider Business Mailing Address
First Line : 19020 33RD AVE W
Second Line : SUITE 210
City : LYNNWOOD
State : WA
Zip : 98036-4748
Country : US
Telephone Number : 425-563-1500
Fax Number : 425-563-1374
Provider Business Practice Location Address
First Line : 19020 33RD AVE W
Second Line : SUITE 210
City : LYNNWOOD
State : WA
Zip : 98036-4748
Country : US
Telephone Number : 425-563-1500
Fax Number : 425-563-1501
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2006
Last Update Date : 06/01/2026

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1255333886 — DR. JONATHAN PAUL NAATZ MD
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98036-4748
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1497741870 — DR. RANDI WAYNE HART MD
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