JESSICA LEE KULAK (NPI# 1205088150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205088150 |
| Entity Type | Individual |
| Full Name | JESSICA LEE KULAK |
| Credential | MD |
| Practice Address |
133 Barnwood Dr Edgewood KY 41017-2500 |
| Mailing Address |
8923 Roan Ln Cincinnati OH 45242-5441 |
| Practice Telephone | 8593319600 |
| Mailing Telephone | 8593319600 |
| Enumeration Date | 2008-10-22 |
| Last Update Date | 2012-03-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Y00000X | Otolaryngology | TRN10480 | FL | Allopathic & Osteopathic Physicians |
| Y | 207YS0123X |
Otolaryngology Specialization: Facial Plastic Surgery |
44925 | KY | Allopathic & Osteopathic Physicians |
| Street Address |
133 BARNWOOD DR |
| City | EDGEWOOD |
| State | KY |
| Zip Code | 41017-2500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265450100 | Devinder S Mangat | Plastic Surgery | 133 Barnwood Dr, Edgewood, KY 41017-2500 | 2006-07-18 |
| 1427697994 | Amber Mehle | Registered Nurse | 133 Barnwood Dr, Edgewood, KY 41017-2500 | 2020-01-02 |
| 1073055943 | Daybreak Operations, LLC | Clinic/Center | 133 Barnwood Dr, Edgewood, KY 41017-2500 | 2016-11-09 |
| 1043356504 | Holzapfel & Lied Plastic Surgery Center Psc | Clinic/Center | 133 Barnwood Dr, Edgewood, KY 41017-2500 | 2007-01-30 |
| 1477609584 | Martha E. Yunker | Nurse Anesthetist, Certified Registered | 133 Barnwood Dr, Edgewood, KY 41017-2500 | 2007-01-25 |
| 1669520318 | Mangat Medical LLC | Clinic/Center | 133 Barnwood Dr, Edgewood, KY 41017-2500 | 2007-01-08 |
| 1780607341 | Allison M Holzapfel | Plastic Surgery | 133 Barnwood Dr, Edgewood, KY 41017-2500 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578187209 | St. Elizabeth Medical Center, Inc. | Pharmacy | 1 Medical Village Dr., Edgewood, KY 41017 | 2020-05-28 |
| 1366084337 | St. Elizabeth Medical Center, Inc. | Pharmacy | 850 Thomas More Parkway, Edgewood, KY 41017 | 2019-10-11 |
| 1396396750 | Family First Vision Care Kentucky | Optometrist | 614 Buttermilk Pike, Fort Mitchell, KY 41017 | 2019-09-26 |
| 1083184543 | Katie Franconia Smith | Nurse Practitioner | 2865 Chancellor Dr., Crestview Hills, KY 41017 | 2018-11-27 |
| 1871077511 | Janet Reeves Martin | Nurse Practitioner | Infinity Dialysis, 4750 East Galbraith Rd. Suite 103, Cincinnati, OH 41017 | 2018-09-19 |
| 1144713983 | Kelly Wiechart | Dentist | 599 Freedom Park Dr Ste 100, Crestview Hills, KY 41017 | 2018-06-06 |
| 1225535966 | Proscan Radiology Northern Kentucky, LLC | Radiology | 350 Thomas More Pkwy Ste 170, Crestview Hills, KY 41017 | 2018-04-10 |
| 1396241626 | Tressa S. Leahy | Physical Therapist | 200 Medical Village Drive, Edgewood, KY 41017 | 2018-04-04 |
| 1699294470 | Raymond Gardinier | Physical Therapist | 3755 Old Ky 17, Fort Wright, KY 41017 | 2017-09-13 |
| 1992229785 | Adrienne Bussard | Physician Assistant | 334 Thomas More Pkwy Ste 120, Crestview Hills, KY 41017 | 2017-08-02 |
| Find all providers in zip 41017 | ||||
| Taxonomy Code | 207YS0123X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Facial Plastic Surgery |
| An otolaryngologist who specializes in facial plastic surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate was, but is no longer issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851591754 | William M. Parell, Md, Psc | Otolaryngology | 2101 Nicholasville Rd Ste 103, Lexington, KY 40503-2517 | 2007-07-19 |
| 1154345718 | Mitchell D Kaye Psc | Otolaryngology | 1011 S Main St, Hopkinsville, KY 42240-2009 | 2006-07-27 |
| 1811959661 | Rudolph Joseph Triana Jr. | Otolaryngology | 1111 Medical Center Cir, Mayfield, KY 42066-1194 | 2006-04-05 |
| 1891784104 | Arthur Harry Allen | Otolaryngology | 300 S 8th St, Suite 403e, Murray, KY 42071-2400 | 2005-10-19 |
Please comment or provide details below to improve the information on JESSICA LEE KULAK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.