Provider Demographics
NPI:1437577707
Name:HULICK, RACHEL K (MD)
Entity Type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:K
Last Name:HULICK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:EVE
Other - Last Name:KUNKLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2451 FILLINGIM ST
Mailing Address - Street 2:MST 709
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36617-2238
Mailing Address - Country:US
Mailing Address - Phone:251-471-7990
Mailing Address - Fax:251-471-7022
Practice Address - Street 1:8140 MCKENZIE AVE
Practice Address - Street 2:
Practice Address - City:PANAMA CITY
Practice Address - State:FL
Practice Address - Zip Code:32404-4299
Practice Address - Country:US
Practice Address - Phone:443-562-5049
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-02
Last Update Date:2021-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSME149393207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology