DR. Kenneth Dwayne Fulks, M.D.

NPI #1144237751 in Columbia, Tennessee

Provider Information

NPI Number
1144237751
Entity Type
Individual
Name
DR. Kenneth Dwayne Fulks, M.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Surgery - Plastic and Reconstructive Surgery
Credential
M.D.
Enumeration Date
Aug 3, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
1601 HATCHER LN
ZIP Code
38401-4826
Phone
(931) 381-2802

Specialties & Taxonomy Codes

Specialty
Surgery - Plastic and Reconstructive SurgeryPlastic and Reconstructive Surgery

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