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NPI Code Detail

MEDICARE: DR. DANIEL NICHOLAS KULUND M.D.

MEDICARE:  DR. DANIEL NICHOLAS KULUND  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
1207XX0005XSports Medicine (Orthopaedic Surgery) Physician0101023967VA

General Provider Information

NPI Number : 1972579951
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DANIEL NICHOLAS KULUND M.D.
Provider Business Mailing Address
First Line : HC 7 BOX 982502A
Second Line :
City : MEXICO BEACH
State : FL
Zip : 32456-9504
Country : US
Telephone Number : 850-774-7091
Fax Number : 850-283-7556
Provider Business Practice Location Address
First Line : 340 MAGNOLIA CIR
Second Line : TYNDALL AFB
City : PANAMA CITY
State : FL
Zip : 32403-5604
Country : US
Telephone Number : 850-283-7717
Fax Number : 850-283-7556
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/28/2006
Last Update Date : 07/08/2007

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