Provider Demographics
NPI:1700889649
Name:KULINSKI, ROBERT FRANCIS (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:FRANCIS
Last Name:KULINSKI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4066 SUMMER AVE
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38122-5225
Mailing Address - Country:US
Mailing Address - Phone:901-452-7391
Mailing Address - Fax:901-452-3439
Practice Address - Street 1:4066 SUMMER AVE
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38122-5225
Practice Address - Country:US
Practice Address - Phone:901-452-7391
Practice Address - Fax:901-452-3439
Is Sole Proprietor?:Yes
Enumeration Date:2005-05-24
Last Update Date:2016-06-23
Deactivation Date:2006-03-16
Deactivation Code:
Reactivation Date:2006-03-21
Provider Licenses
StateLicense IDTaxonomies
TNMD0000020881207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4044349OtherBLUE CROSS/BLUESHIELD
TN3061741Medicaid
TN3061748Medicare ID - Type UnspecifiedINDIVIDUAL
TN3061741Medicaid
TNE92319Medicare UPIN
TN110240793Medicare ID - Type UnspecifiedRAILROAD