Provider Demographics
NPI:1669442679
Name:KAULIUS, PAUL JOSEPH (DPM)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:JOSEPH
Last Name:KAULIUS
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 1:6900 HAMILTON BLVD
Mailing Address - Street 2:PO BOX 60
Mailing Address - City:TREXLERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18087-9100
Mailing Address - Country:US
Mailing Address - Phone:610-481-9455
Mailing Address - Fax:610-481-9997
Practice Address - Street 1:6900 HAMILTON BLVD
Practice Address - Street 2:
Practice Address - City:TREXLERTOWN
Practice Address - State:PA
Practice Address - Zip Code:18087
Practice Address - Country:US
Practice Address - Phone:610-481-9455
Practice Address - Fax:610-481-9997
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-23
Last Update Date:2010-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC003112-L213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0011044200003Medicaid
PA0011044200003Medicaid
PA0798020001Medicare NSC
503394Medicare PIN