Kurt B. Fulk, C. PED., BOC-O, CO
NPI #1811028087 in Springfield, Missouri
Provider Information
- NPI Number
- 1811028087
- Entity Type
- Individual
- Name
- Kurt B. Fulk, C. PED., BOC-O, CO
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Credential
- C. PED., BOC-O, CO
- Enumeration Date
- Mar 8, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 2100 S BRENTWOOD BLVD STE A
- City
- Springfield
- State
- Missouri
- ZIP Code
- 65804-2534
- Phone
- (417) 888-0887
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
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