Wulff, Kenneth R.

Wulff, Kenneth R. is an individual health care provider with primary practice located at 1503 Spring Hill Rd , Petaluma CA 94952-9305. He recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as his primary health care specialty. Wulff, Kenneth R. can be contacted via phone (707) 559-3895.

Contact Information

Primary practice address
1503 Spring Hill Rd Petaluma CA 94952-9305
Phone: (707) 559-3895
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X G32683 California

Profile Details

NPI number 1124105085
LBN Legal business name Wulff, Kenneth R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2006
Last updated Jan 18th, 2024 - about last year

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 1124105085 NPPES
California MEDICAID 00G326830

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