| NPI | 1568837276 |
|---|---|
| Professional Name | SEAN KOULABOUD |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95004148) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KS APRN-53-76899) |
| 363LF0000X Nurse Practitioner, Family (Licence: KS 53-76899) | |
| Enumeration Date | 2015-12-07 |
| Last Update Date | 2018-05-03 |