Provider Demographics
NPI:1154861862
Name:KULHANEK, KAYLYN MARIE
Entity Type:Individual
Prefix:
First Name:KAYLYN
Middle Name:MARIE
Last Name:KULHANEK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:442D MCKNIGHT CIR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15237-3545
Mailing Address - Country:US
Mailing Address - Phone:814-746-1929
Mailing Address - Fax:
Practice Address - Street 1:442D MCKNIGHT CIR
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15237-3545
Practice Address - Country:US
Practice Address - Phone:814-746-1929
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-02-28
Last Update Date:2017-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician