Kaulback, Kris R.

Kaulback, Kris R. is an individual health care provider with primary practice located at 1100 Walnut St , Philadelphia PA 19107-5563. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Trauma Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Kaulback, Kris R. can be contacted via phone (215) 955-6750.

Contact Information

Primary practice address
1100 Walnut St Philadelphia PA 19107-5563
Phone: (215) 955-6750
Fax: (215) 923-8222
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD060588L Pennsylvania
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X MD060588L Pennsylvania
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X MD060588L Pennsylvania

Profile Details

NPI number 1245250943
LBN Legal business name Kaulback, Kris R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated May 31st, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245250943 NPPES
Pennsylvania MEDICAID 001793933
Pennsylvania MEDICAID 8168903

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