Provider Demographics
NPI:1821423773
Name:DULAN, KIMBERLY (MS ED)
Entity Type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:
Last Name:DULAN
Suffix:
Gender:F
Credentials:MS ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 TRINITY PL
Mailing Address - Street 2:
Mailing Address - City:SELKIRK
Mailing Address - State:NY
Mailing Address - Zip Code:12158-8705
Mailing Address - Country:US
Mailing Address - Phone:845-304-5202
Mailing Address - Fax:
Practice Address - Street 1:106 TRINITY PL
Practice Address - Street 2:
Practice Address - City:SELKIRK
Practice Address - State:NY
Practice Address - Zip Code:12158-8705
Practice Address - Country:US
Practice Address - Phone:845-304-5202
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-11
Last Update Date:2015-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist