Most Relevant Information
Provider Data
| NPI Number: | 1003490301 |
| Provider Name: | NICKY KULISH RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163WP0808X |
| Specialty: | Registered Nurse |
| License Number: | 0116501 |
Most Important Dates
| Enumeration Date: | 05/12/2021 |
| Last Updated: | 05/13/2021 |
Provider Practice Location
831 S PERRY ST STE 100
CASTLE ROCK
CO
801041920
Practice Location Phone/Fax
| Phone: | 3037308858 |
| Fax: |
Provider Mailing Location
116 INVERNESS DR E STE 105
ENGLEWOOD
CO
801125125
Provider Mailing Phone/Fax
| Phone: | 3037308858 |
| Fax: |