| Michael L Kula Psy D S.c. | |
|
2801 W Kinnickinnic River Pkwy Suite 347 Milwaukee WI 53215-3669 | |
| (414) 385-2877 | |
| Not Available |
| Full Name | Michael L Kula Psy D S.c. |
|---|---|
| Speciality | Psychologist |
| Location | 2801 W Kinnickinnic River Pkwy, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Jane K Hansen (BILLING) |
| Authorized Official Contact | 2623639917 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael L Kula Psy D S.c. Po Box 510058 New Berlin WI 53151-0058 Ph: (414) 385-2877 | Michael L Kula Psy D S.c. 2801 W Kinnickinnic River Pkwy Suite 347 Milwaukee WI 53215-3669 Ph: (414) 385-2877 |
| NPI Number | 1093034456 |
|---|---|
| Provider Enumeration Date | 05/25/2010 |
| Last Update Date | 05/25/2010 |
| Medicare PECOS PAC ID | 3577693894 |
|---|---|
| Medicare Enrollment ID | O20100614000383 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093034456 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 1433 (Wisconsin) | Primary |
| Provider Name | Michael L Kula |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831251321 PECOS PAC ID: 3779566229 Enrollment ID: I20040608000219 |
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