person
Dr. Kenneth Dwayne Fulks, MD
Plastic and Reconstructive Surgery Physician in Columbia, Tennessee
NPI 1144237751

Kenneth Dwayne Fulks is a Plastic and Reconstructive Surgery Physician based in Columbia, TN and is specialized in Plastic and Reconstructive Surgery. Kenneth Dwayne Fulks practices in Columbia, TN and has the professional credentials of MD. The NPI Number for Kenneth Dwayne Fulks is 1144237751 and holds a License No. MD019595 (Tennessee).

The current practice location address for Kenneth Dwayne Fulks is 1601 Hatcher Ln, Columbia, TN and can be reached out via phone at 931-381-2802 and via fax at 931-388-0719. You can also correspond with Kenneth Dwayne Fulks through the mailing address at 1601 HATCHER LN, COLUMBIA, TN - 38401-4826 (mailing address contact number: 931-381-2802).

Location: 1601 Hatcher Ln, Columbia, TN, 38401-4826
person
Provider Profile Details
NPI Number
1144237751
Provider Name
Kenneth Dwayne Fulks
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1601 Hatcher Ln, Columbia, TN, 38401-4826
Phone Number
931-381-2802
Fax Number
931-388-0719
Provider Enumeration Date
08/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3059467 05 TN
institution
Provider Business Practice Location Address Details
Address
1601 Hatcher Ln
City
State
Zip
38401-4826
Phone Number
931-381-2802
Fax Number
931-388-0719
person
Provider Business Mailing Address Details
Address
1601 Hatcher Ln
City
State
Zip
38401-4826
Phone Number
931-381-2802
Fax Number
931-388-0719
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Plastic and Reconstructive Surgery
Taxonomy
License No.
MD019595 (Tennessee)
Definition
A surgeon who specializes in plastic and reconstructive surgery.
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