Provider Demographics
NPI:1154873875
Name:KULPAS, KARLA JEAN (RN)
Entity type:Individual
Prefix:
First Name:KARLA
Middle Name:JEAN
Last Name:KULPAS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:618 E. ADAMS AVE.
Mailing Address - Street 2:P. O. BOX 705
Mailing Address - City:CHESTER
Mailing Address - State:MT
Mailing Address - Zip Code:59522-0705
Mailing Address - Country:US
Mailing Address - Phone:406-759-5517
Mailing Address - Fax:406-759-5923
Practice Address - Street 1:618 E. ADAMS AVE.
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:MT
Practice Address - Zip Code:59522-0705
Practice Address - Country:US
Practice Address - Phone:406-759-5517
Practice Address - Fax:406-759-5923
Is Sole Proprietor?:No
Enumeration Date:2016-10-28
Last Update Date:2016-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT8949163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse