Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1215211776 Individual Practitioner Female Practitioner

Dr. Jennifer Grace Kull , MD

Specialist • Phoenix, AZ

Professional Overview & Biography Verified Profile Summary

Dr. Jennifer Kull, MD is a registered healthcare professional specializing in Specialist in Phoenix, AZ. Practice services are available at 3933 E EDNA AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3933 E Edna Ave
102

Phoenix, AZ 850322127

Telephone 6025695437
Fax 6024824640
Associated Practice Facility / Clinic
🏢 Pax Pediactrics Pllc Facility NPI 1952652893

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Phoenix, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 36.2 Yrs
State Avg: 35.9 Yrs
Regional Practice Density
196 Specialists

Practicing in Phoenix, AZ (826 Statewide)

Telehealth Adoption Rate
4.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License AZ 44144

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Kristi Ice , PA-C

Physician Assistant - Medical

NPI 1265654180

Physician Assistant (Certified)

Alexis Hatch , FNP

Nurse Practitioner - Family

NPI 1427339167

Family Nurse Practitioner

NPI 1619074358

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 03, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location October 03, 2011

Registered at 3933 E EDNA AVE, 102, PHOENIX, AZ 850322127 (Tel: 6025695437)

📍
Updated Business Mailing Address October 03, 2011

Registered at 3933 E EDNA AVE, 102, PHOENIX, AZ 850322127 (Tel: 6025695437)

👤
Provider Name / Credentials Updated October 03, 2011

Recorded as JENNIFER KULL, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 03, 2011

Specialist (License #44144 in AZ)

🟢
Initial NPI Registration & Enumeration October 03, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1215211776
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 03, 2011
Last Update: October 03, 2011
Sole Proprietor: Yes

Mailing Address

3933 E Edna Ave, 102

Phoenix, AZ 850322127

Phone: 6025695437

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.