Individual provider · Type 1 NPI

Keturah Fulton

Student in an Organized Health Care Education/Training Program · Enon, OH

NPI number 1154872398 Active

Practice location

5201 W Jackson Rd
Enon, OH 45323-9783

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1154872398

Keturah Fulton's National Provider Identifier is 1154872398, issued on Oct 24, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Enon, OH. The record was last updated on Oct 24, 2016.