Provider Demographics
NPI:1376125898
Name:HULTEN, KALYN A
Entity Type:Individual
Prefix:MRS
First Name:KALYN
Middle Name:A
Last Name:HULTEN
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 1:4420 183RD PL SW
Mailing Address - Street 2:
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98037-4632
Mailing Address - Country:US
Mailing Address - Phone:206-375-2158
Mailing Address - Fax:
Practice Address - Street 1:4420 183RD PL SW
Practice Address - Street 2:
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98037-4632
Practice Address - Country:US
Practice Address - Phone:206-375-2158
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-23
Last Update Date:2021-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula