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

Dr. Kris R. Kaulback, MD

Individual provider Surgery Physician · NPI 1245250943

Dr. Kris R. Kaulback, MD is a Critical Care (Intensivists) in Philadelphia, Pennsylvania. Graduated from Hahnemann University College of Medicine in 1994, 32 years ago. Practices with Main Line Healthcare, a 1,153-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
32
Trained at
Hahnemann University College of Medicine
Licensed in
PA
In the registry since
2006
Specialties on file
3
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

1100 Walnut St
Philadelphia, PA 19107-5563
Phone: (215) 955-6750
Fax: (215) 923-8222
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence MD060588L (PA)
Surgical Critical Care Physician Taxonomy 2086S0102X · Licence MD060588L (PA)
Trauma Surgery Physician Taxonomy 2086S0127X · Licence MD060588L (PA)

Record details

NPI number1245250943
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 19, 2006
Last updated in NPPESMay 31, 2011

Medicare enrollment

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

Medicare specialtyCRITICAL CARE (INTENSIVISTS)
Medical schoolHAHNEMANN UNIVERSITY COLLEGE OF MEDICINE
Graduated 1994 (32 years in practice)
Group practice Main Line Healthcare — 1153 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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