| Doctor Name: | DR. HEIDI AMANDA KULBERG |
| NPI Number: | 1821017088 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D., M.P.H. |
| License Number: | 0101238091 |
| Business Practice Address: | 910 W Mercury Blvd Hampton, VA - 236664334 |
| Business Phone Number: | 7578262198 |
| Business Fax Number: | 7578259165 |
| Mailing Address: | 748 Battlefield Blvd, North, Chesapeake Health District CHESAPEAKE |
| State: | VA |
| Postal Code: | 23320 |
| Phone Number: | 7573828723 |
| Fax Number: | 7573828651 |
| NPI Enumeration Date: | 07/19/2006 |
| NPI Last Update Date: | 05/08/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | 0101238091 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | VA |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |