Kullman, Frederick M

Kullman, Frederick M is an individual health care provider with primary practice located at 433 Saint Michaels Dr , Santa Fe NM 87505-7601. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Kullman, Frederick M can be contacted via phone (505) 988-1232.

Contact Information

Primary practice address
433 Saint Michaels Dr Santa Fe NM 87505-7601
Phone: (505) 988-1232
Fax: (505) 984-1603
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 78-202 New Mexico
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 78-202 New Mexico

Profile Details

NPI number 1649276981
LBN Legal business name Kullman, Frederick M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2005
Last updated Jul 8th, 2013 - about 12 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 1649276981 NPPES
Other 202015408 PRESBYTERIAN HEALTH PLAN
Other NM011553 PRESBYTERIAN HEALTH PLAN
Other 1699938 PRESBYTERIAN HEALTH PLAN
Other 10003854 PRESBYTERIAN HEALTH PLAN
MEDICAID 13672 PRESBYTERIAN HEALTH PLAN
Other PROVP13502 PRESBYTERIAN HEALTH PLAN
MEDICAID 44396 PRESBYTERIAN HEALTH PLAN

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