Individual provider · Type 1 NPI
Kenneth Dwayne Fulks, MD
Plastic and Reconstructive Surgery Physician · Columbia, TN
NPI number
1144237751
Active
Practice location
1601 Hatcher Ln
Columbia, TN 38401-4826
Fax (931) 388-0719
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Plastic and Reconstructive Surgery Physician Primary | 2086S0122X | MD019595 (TN) |
Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.
About NPI 1144237751
Kenneth Dwayne Fulks, MD's National Provider Identifier is 1144237751, issued on Aug 3, 2006. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Columbia, TN. The record was last updated on Jul 8, 2007.