MRS. Kimothy Ann Fulk, APN NP C
NPI #1770515728 in Lawrenceville, Illinois
Provider Information
- NPI Number
- 1770515728
- Entity Type
- Individual
- Name
- MRS. Kimothy Ann Fulk, APN NP C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Adult Health
- Credential
- APN NP C
- Enumeration Date
- Jul 7, 2006
- Last Updated
- Sep 9, 2019
Practice Location
- Address
- 11020 STATE ROUTE 250
- City
- Lawrenceville
- State
- Illinois
- ZIP Code
- 62439-3379
- Phone
- (618) 943-2609
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Adult Health — Adult Health |
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