Individual provider · Type 1 NPI

Katie Marie Fulk, MA, RDN, LD

Registered Dietitian · Churubusco, IN

NPI number 1114702172 Active

Practice location

12436 Bryie Rd
Churubusco, IN 46723-9225

Mailing address

PO Box 5600
Fort Wayne, IN 46895-5600

Other practice locations

  • 1050 Production Rd, Fort Wayne, IN 46808-4106 · (260) 266-6562

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian Primary 133V00000X37002864A (IN)

Registered Dietitian: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the…

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About NPI 1114702172

Katie Marie Fulk, MA, RDN, LD's National Provider Identifier is 1114702172, issued on Aug 29, 2023. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Churubusco, IN. The record was last updated on Sep 21, 2023.