Tekulve, Kristyn J
Tekulve, Kristyn J is an individual health care provider with primary practice located at 2330 S Dixon Rd , Kokomo IN 46902-6411. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology. Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology is her primary health care specialty. Tekulve, Kristyn J can be contacted via phone (765) 455-8822.Contact Information
Primary practice address
2330 S Dixon Rd
Kokomo IN 46902-6411
Phone: (765) 455-8822
Fax: (765) 865-3935
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 01069780A | Indiana |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology | 2084N0402X | 01069780A | Indiana |
Profile Details
NPI number | 1902070089 |
---|---|
LBN Legal business name | Tekulve, Kristyn J |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 18th, 2008 |
Last updated | Jun 21st, 2022 - about 3 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1902070089 | NPPES |
Indiana | MEDICAID | 201108530 |
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