Provider Demographics
NPI:1740091883
Name:KULUS, HALEY GRACE
Entity type:Individual
Prefix:
First Name:HALEY
Middle Name:GRACE
Last Name:KULUS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:HALEY
Other - Middle Name:GRACE
Other - Last Name:JOLIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1909 FRONT ST
Mailing Address - Street 2:
Mailing Address - City:BLAIR
Mailing Address - State:NE
Mailing Address - Zip Code:68008-1524
Mailing Address - Country:US
Mailing Address - Phone:402-720-7788
Mailing Address - Fax:
Practice Address - Street 1:1909 FRONT ST
Practice Address - Street 2:
Practice Address - City:BLAIR
Practice Address - State:NE
Practice Address - Zip Code:68008-1524
Practice Address - Country:US
Practice Address - Phone:402-720-7788
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-17
Last Update Date:2025-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide