Kenneth R. Wulff
MD | Psychiatry | Child & Adolescent | 50+ years Exp
1503 Spring Hill Rd, Petaluma
California, 94952-9305
707-559-3895 Maps & DirectionsKenneth R. Wulff is a Petaluma, California based psychiatrist with 50 years of experience in Child & Adolescent. He completed his graduation in 1975. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Kenneth R. Wulff is G32683 for Child & Adolescent in California. His current practice location is 1503 Spring Hill Rd, Petaluma. Patients can reach him at 707-559-3895. Kenneth R. Wulff is MD in Child & Adolescent and his NPI number (Unique professional ID assigned by NPPES) is 1124105085.
Kenneth R. Wulff has done additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Complete Profile:
Kenneth R. Wulff speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Kenneth R. Wulff |
| Specialization: | Child & Adolescent |
| Gender: | Male |
| Credentials: | MD |
| Experience: | 50+ years |
| Medical School Attended: | Other |
| Graduation Year: | 1975 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 1503 Spring Hill Rd, Petaluma,
California, 94952-9305 |
| Phone: | 707-559-3895 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 5395048813 |
| Enrollment ID: | I20160115001887 |
| NPI Number: | 1124105085 |
| NPI Enumeration Date: | 31 Oct, 2006 |
| NPI Last Update On: | 18 Jan, 2024 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kenneth R. Wulff are as mentioned below.
| License Number | Specialization | State | Status | |
| G32683 | Child & Adolescent | California | Primary | |
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Kenneth R. Wulff is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Community Solutions For Children, Families And Individuals (8123017985) | 7 |
| Hope Services (5597716233) | 14 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Kenneth R. Wulff such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 00G326830 | Medicaid | California | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Kenneth R. Wulff
1503 Spring Hill Rd,
Petaluma, California |
| Zip: | 94952-9305 |
| Phone Number: | 707-559-3895 |
Patients can reach Kenneth R. Wulff at
1503 Spring Hill Rd, Petaluma, California or can
call to book an appointment on 707-559-3895.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.