Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Charles Kotulski, MD

Individual provider Emergency Medicine Physician · NPI 1902398407

Charles Kotulski, MD is a Family Practice in Tacoma, Washington. Qualified in 2018, 8 years ago. Works from 2 locations. Licensed in Washington and Wisconsin.

Years since qualifying
8
Licensed in
WA, WI
In the registry since
2018
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

9040 Jackson Ave
Tacoma, WA 98431-0001
Phone: (253) 968-3885
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9576 Hwy 70, Minocqua, WI 54548-9067 — (715) 234-6291

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence ML60863184 (WA)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 75407-20 (WI)

Record details

NPI number1902398407
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 31, 2018
Last updated in NPPESSeptember 30, 2024
Certification dateSeptember 30, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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