1104843630 NPI number — DR. ANTHONY KULCZYCKI JR. MD

Table of content: DR. ANTHONY KULCZYCKI JR. MD (NPI 1104843630)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1104843630 NPI number — DR. ANTHONY KULCZYCKI JR. MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
KULCZYCKI
Provider First Name:
ANTHONY
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
JR.
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1104843630
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/15/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
660 S EUCLID AVE
Provider Second Line Business Mailing Address:
CB 8122
Provider Business Mailing Address City Name:
SAINT LOUIS
Provider Business Mailing Address State Name:
MO
Provider Business Mailing Address Postal Code:
63110-1010
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
314-454-8917
Provider Business Mailing Address Fax Number:
314-454-5140

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1110 HIGHLANDS PLAZA DR E
Provider Second Line Business Practice Location Address:
DIV ALLERGY & IMMUNOLOGY, STE 300
Provider Business Practice Location Address City Name:
SAINT LOUIS
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
63110-1392
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
314-273-5838
Provider Business Practice Location Address Fax Number:
314-273-5839
Provider Enumeration Date:
07/17/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207RA0201X , with the licence number:  R7229 , registered in the state of MO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 200869501 , issued by the state of ( MO ) . This identifiers is of the category "MEDICAID".




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