Provider Demographics
NPI:1700818424
Name:KULPAN, PAUL WALTER (DC)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:WALTER
Last Name:KULPAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10970 S PARKER RD
Mailing Address - Street 2:SUITE A2A
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80134-7443
Mailing Address - Country:US
Mailing Address - Phone:303-840-9620
Mailing Address - Fax:303-840-9963
Practice Address - Street 1:10970 S PARKER RD
Practice Address - Street 2:SUITE A2A
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80134-7443
Practice Address - Country:US
Practice Address - Phone:303-840-9620
Practice Address - Fax:303-840-9963
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2007-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3722111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
COC28633Medicare PIN