Individual provider · Type 1 NPI

Kurt B. Fulk, C. PED., BOC-O, CO

Prosthetic/Orthotic Supplier · Springfield, MO

NPI number 1811028087 Active

Practice location

2100 S Brentwood Blvd Ste A
Springfield, MO 65804-2534

Mailing address

638 Sommer Ln
Billings, MO 65610-8324

Specialties and licenses

TaxonomyCodeLicense
Prosthetic/Orthotic Supplier Primary 335E00000XNone listed

Prosthetic/Orthotic Supplier: An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

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About NPI 1811028087

Kurt B. Fulk, C. PED., BOC-O, CO's National Provider Identifier is 1811028087, issued on Mar 8, 2007. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Springfield, MO. The record was last updated on Jul 8, 2007.