Basic Information
Provider Information
NPI: 1053387357
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HULEN
FirstName: KAY
MiddleName: FRANCES
NamePrefix:  
NameSuffix:  
Credential: RN
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 7116 BONNIE BRAE LN
Address2:  
City: COLORADO SPRINGS
State: CO
PostalCode: 809223138
CountryCode: US
TelephoneNumber: 7193904538
FaxNumber: 7195267676
Practice Location
Address1: 7500 COCHRANE CIRCLE
Address2:  
City: FORT CARSON
State: CO
PostalCode: 80913
CountryCode: US
TelephoneNumber: 7195267816
FaxNumber: 7195267676
Other Information
ProviderEnumerationDate: 02/27/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: X
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163WC0400X36999COY Nursing Service ProvidersRegistered NurseCase Management

No ID Information.


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