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

Keith Kulju

Individual provider Gastroenterology Physician · NPI 1265471619

Keith Kulju is a Gastroenterology in Jamestown, New York. Qualified in 1977, 49 years ago. Practices with Great Lakes Physician Practice PC, a 143-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
49
Licensed in
NY
In the registry since
2006

Practice location Address checks out

15 S Main St Ste 160
Jamestown, NY 14701-6626
Phone: (716) 484-7107
Show map & directions

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

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 137830 (NY)

Record details

NPI number1265471619
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 4, 2006
Last updated in NPPESJanuary 25, 2024
Certification dateMay 11, 2021
Mailing address15 S Main St, Suite 300, Jamestown, NY 14701-6626

Medicare enrollment

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

Medicare specialtyGASTROENTEROLOGY
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1977 (49 years in practice)
Group practice Great Lakes Physician Practice Pc — 143 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Jamestown