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

Evan Loren Kulbacki, MD

Individual provider Hematology (Pathology) Physician · NPI 1659531408

Evan Loren Kulbacki, MD is a Pathology in Kingsport, Tennessee. Graduated from University of Utah School of Medicine in 2008, 18 years ago. Practices with Highlands Pathology Consultants, PC, a 6-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
18
Trained at
University of Utah School of Medicine
Licensed in
TN
In the registry since
2008
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

130 W Ravine Rd
Kingsport, TN 37660-3837
Phone: (423) 224-6711
Fax: (423) 224-6717
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence 49647 (TN)
Hematology (Pathology) Physician Taxonomy 207ZH0000X · Licence 49647 (TN)

Record details

NPI number1659531408
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 16, 2008
Last updated in NPPESSeptember 8, 2016

Medicare enrollment

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

Medicare specialtyPATHOLOGY
Medical schoolUNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated 2008 (18 years in practice)
Group practice Highlands Pathology Consultants, P.C. — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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