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

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