Kelly Fulks

NPI #1215325881 in Waterford, Michigan

Provider Information

NPI Number: 1215325881
Entity Type: Individual
Name: Kelly Fulks
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Jan 5, 2015
Last Updated: Jan 5, 2015

Practice Location

Address: 5210 HIGHLAND RD
Address 2: SUITE 100
City: Waterford
State: Michigan
ZIP Code: 48327-1970
Phone: (248) 674-9560

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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