Provider Demographics
NPI:1316574452
Name:KULKOFF, CONSTANTINE (DO)
Entity type:Individual
Prefix:DR
First Name:CONSTANTINE
Middle Name:
Last Name:KULKOFF
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:487 6TH AVE
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94118-3009
Mailing Address - Country:US
Mailing Address - Phone:415-810-7832
Mailing Address - Fax:
Practice Address - Street 1:21 SAN MIGUEL AVE STE A
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93901-3066
Practice Address - Country:US
Practice Address - Phone:831-256-7673
Practice Address - Fax:831-800-8582
Is Sole Proprietor?:No
Enumeration Date:2020-03-26
Last Update Date:2025-09-23
Deactivation Date:2025-07-29
Deactivation Code:
Reactivation Date:2025-09-19
Provider Licenses
StateLicense IDTaxonomies
CA20A19557207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine