Provider Demographics
NPI:1497796254
Name:KULINA, PATRICK F (DPM)
Entity Type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:F
Last Name:KULINA
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 40450
Mailing Address - Street 2:
Mailing Address - City:BAY VILLAGE
Mailing Address - State:OH
Mailing Address - Zip Code:44140-0450
Mailing Address - Country:US
Mailing Address - Phone:440-871-4700
Mailing Address - Fax:440-871-4702
Practice Address - Street 1:1532 SAVANNAH RD
Practice Address - Street 2:SUITE A
Practice Address - City:LEWES
Practice Address - State:DE
Practice Address - Zip Code:19958-1624
Practice Address - Country:US
Practice Address - Phone:302-645-8555
Practice Address - Fax:302-645-7044
Is Sole Proprietor?:No
Enumeration Date:2006-06-10
Last Update Date:2012-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEE10000093213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE422801401Medicaid
DE480026593OtherMEDICARE RAILROAD PIN
DE422801401Medicaid
DE480026593OtherMEDICARE RAILROAD PIN
DE0632400002Medicare NSC