BRANDON KULIN (NPI# 1205288107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205288107 |
| Entity Type | Individual |
| Full Name | BRANDON KULIN |
| Practice Address |
1109 Jones St Kennett MO 63857-3824 |
| Practice Telephone | 5738886545 |
| Practice Fax Number | 5738882369 |
| Mailing Telephone | 5738886545 |
| Mailing Fax Number | 5738882369 |
| Enumeration Date | 2016-07-05 |
| Last Update Date | 2016-07-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247200000X | Technician, Other | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
1109 JONES ST |
| City | KENNETT |
| State | MO |
| Zip Code | 63857-3824 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013023860 | Carl Rodney Fisher | Counselor | 1109 Jones St, Kennett, MO 63857-3824 | 2006-08-22 |
| 1588265565 | Jaymie Rena Glass | Case Manager/Care Coordinator | 1109 Jones St, Kennett, MO 63857-3824 | 2020-11-05 |
| 1205468402 | James Berry Rogers | Behavior Technician | 1109 Jones St, Kennett, MO 63857-3824 | 2020-02-06 |
| 1528698156 | Dylon Deauston Holt | Behavior Technician | 1109 Jones St, Kennett, MO 63857-3824 | 2020-01-23 |
| 1598305351 | Lora Nicole Wilson | Counselor | 1109 Jones St, Kennett, MO 63857-3824 | 2020-01-09 |
| 1336799428 | William Robert Davis Jr. | Behavior Technician | 1109 Jones St, Kennett, MO 63857-3824 | 2019-09-19 |
| 1013564947 | Chelsi Joann Masterson | Case Manager/Care Coordinator | 1109 Jones St, Kennett, MO 63857-3824 | 2019-08-26 |
| 1790337442 | Kelsi Michelle Moody | Behavior Technician | 1109 Jones St, Kennett, MO 63857-3824 | 2019-07-12 |
| 1649839002 | James Mark Howell | Behavior Technician | 1109 Jones St, Kennett, MO 63857-3824 | 2019-06-10 |
| 1497313308 | Jacqueline Michelle Morris | Health Educator | 1109 Jones St, Kennett, MO 63857-3824 | 2019-06-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992278139 | Fancilla Adams | Counselor | 925 State Highway V V, Kennett, MO 63857 | 2019-01-10 |
| 1962994418 | Kiana Alexis Brown | Behavior Technician | 925 Highway W, Kennett, MO 63857 | 2018-05-31 |
| 1568953636 | Doctors Health Group, Inc | Family Medicine | 1312 First Street, Kennett, MO 63857 | 2018-05-24 |
| 1003328873 | Ann Graf | Counselor | 925 Vv, Kennett, MO 63857 | 2017-11-01 |
| 1457872160 | Jessica Luster | Technician, Other | 1109 Jones St., Kennett, MO 63857 | 2017-07-03 |
| 1235669128 | Chandra Celeste Perkins-shannon | Case Manager/Care Coordinator | 925 Hwy V, Kennett, MO 63857 | 2017-06-14 |
| 1467991612 | Sarah Lobdell | Case Manager/Care Coordinator | 925 State Highway Vv, Kennett, MO 63857 | 2017-02-21 |
| 1881132900 | Brandy Rios | Community Health Worker | 935 State Hwy Vv, Kennett, MO 63857 | 2017-02-09 |
| 1295272060 | Johnny Marie Johnson | Case Manager/Care Coordinator | 925 Hwy Vv Family Counseling Center, Kennett, MO 63857 | 2017-01-31 |
| 1043756364 | Heather Bowman | Case Manager/Care Coordinator | 875 Hwy Vv, Kennett, MO 63857 | 2017-01-10 |
| Find all providers in zip 63857 | ||||
| Taxonomy Code | 247200000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Other |
| A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. |
| Notes: Sources: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988; Dorland’s Illustrated Medical Dictionary, 26th Edition. Philadelphia: W.B. Saunders Company, 1981; and Webster’s II New Riverside University Dictionary. Boston: Riverside Publishing Company, 1984. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457872160 | Jessica Luster | Technician, Other | 1109 Jones St., Kennett, MO 63857 | 2017-07-03 |
| 1508295403 | Chandra Roland | Technician, Other | 1201 Ely St, Kennett, MO 63857 | 2013-11-01 |
| 1497272082 | Bryan Covington | Technician, Other | 1109 Jones St, Kennett, MO 63857-3824 | 2017-08-24 |
| 1245751437 | Kelsey Overbey | Technician, Other | 1109 Jones St, Kennett, MO 63857-3824 | 2017-06-28 |
| 1538692272 | Breah Lindley | Technician, Other | 1109 Jones St, Kennett, MO 63857-3824 | 2017-04-10 |
| 1508304130 | Zachary Oltman | Technician, Other | 1109 Jones St, Kennett, MO 63857-3824 | 2017-02-02 |
| 1407392020 | Christina Burch | Technician, Other | 1109 Jones St, Kennett, MO 63857-3824 | 2017-01-07 |
| 1346603255 | Kristin Irene Patterson | Technician, Other | 925 Hwy Vv, Kennett, MO 63857-3824 | 2016-03-30 |
| 1417318163 | Michelle Lynn Chrisman-sadler | Technician, Other | 1109 Jones St, Kennett, MO 63857-3824 | 2016-03-09 |
| 1548625098 | Katelyn Whitson | Technician, Other | 925 Highway Vv, Post Office Box 71, Kennett, MO 63857 | 2015-12-29 |
| Find all providers in KENNETT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.