STEPHANIE L KULAVIC

SPRINGFIELD, IL
NPI1992261671
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IL  085010016)
Additional Taxonomies2255A2300X Specialist/Technologist, Athletic Trainer
363AS0400X Physician Assistant, Surgical
Enumeration Date2019-02-18
Last Update Date2024-09-10
Business Address
STEPHANIE L KULAVIC PA-C, ATC
800 N 1ST ST
SPRINGFIELD, IL 62702-3778
Phone number: 217-528-7541
Mailing Address
STEPHANIE L KULAVIC PA-C, ATC
PO BOX 19248
SPRINGFIELD, IL 62794-9248
Phone number: 217-528-7541