MEDICARE: MRS. ANDREA MARIE KULPA LMT

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	174400000X	Specialist	MT5114	CO

General Provider Information

NPI Number	:	1942557194
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ANDREA MARIE KULPA LMT

Provider Business Mailing Address
First Line	:	240 SAINT PAUL ST STE G115
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80206-5127
Country	:	US
Telephone Number	:	303-393-8989
Fax Number	:

Provider Business Practice Location Address
First Line	:	240 SAINT PAUL ST STE G115
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80206-5127
Country	:	US
Telephone Number	:	303-393-8989
Fax Number	:

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

Provider Enumeration Date	:	08/07/2012
Last Update Date	:	08/07/2012

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