Basic Information
| Provider Information | |||||||||
| NPI: | 1275026619 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | KULPINSKI | ||||||||
| FirstName: | KELLY | ||||||||
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| Credential: | APN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2012 ALLENWOOD RD | ||||||||
| Address2: | |||||||||
| City: | WALL TOWNSHIP | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 077194610 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9086751599 | ||||||||
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| Practice Location | |||||||||
| Address1: | 600 CLEMENTS BRIDGE RD | ||||||||
| Address2: | |||||||||
| City: | BARRINGTON | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 080071814 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8565478000 | ||||||||
| FaxNumber: | 8565471008 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/11/2018 | ||||||||
| LastUpdateDate: | 06/11/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LG0600X | 26NJ00804800 | NJ | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Gerontology |
No ID Information.