Provider Demographics
NPI:1568272862
Name:KULHANEK, KURT
Entity type:Individual
Prefix:
First Name:KURT
Middle Name:
Last Name:KULHANEK
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 12
Mailing Address - Street 2:
Mailing Address - City:ANSLEY
Mailing Address - State:NE
Mailing Address - Zip Code:68814-0012
Mailing Address - Country:US
Mailing Address - Phone:308-293-2361
Mailing Address - Fax:
Practice Address - Street 1:723 KEENE ST
Practice Address - Street 2:
Practice Address - City:ANSLEY
Practice Address - State:NE
Practice Address - Zip Code:68814-2459
Practice Address - Country:US
Practice Address - Phone:308-870-4698
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-09
Last Update Date:2025-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE236Medicaid