Kenneth 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.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.