Provider Demographics
NPI:1801949664
Name:KULKA, WILLIAM EDWIN (MD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:EDWIN
Last Name:KULKA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:703 MARKET ST
Mailing Address - Street 2:SUITE 1200
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94103-2102
Mailing Address - Country:US
Mailing Address - Phone:415-420-8141
Mailing Address - Fax:415-503-0063
Practice Address - Street 1:703 MARKET ST
Practice Address - Street 2:SUITE 1200
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94103-2102
Practice Address - Country:US
Practice Address - Phone:415-420-8141
Practice Address - Fax:415-503-0063
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-18
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA862802084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAI19082Medicare UPIN