person
Mrs. Kimothy Ann Fulk, APNNPC
Adult Health Nurse Practitioner in Lawrenceville, Illinois
NPI 1770515728

Kimothy Ann Fulk is an Adult Health Nurse Practitioner based in Lawrenceville, IL and is specialized in Adult Health. Kimothy Ann Fulk practices in Lawrenceville, IL and has the professional credentials of APNNPC. The NPI Number for Kimothy Ann Fulk is 1770515728 and holds a License No. 209005713 (Illinois).

The current practice location address for Kimothy Ann Fulk is 11020 State Route 250, Lawrenceville, IL and can be reached out via phone at 618-943-2609 and via fax at 618-943-6409.

Location: 11020 State Route 250, Lawrenceville, IL, 62439-0516
person
Provider Profile Details
NPI Number
1770515728
Provider Name
Kimothy Ann Fulk
Credential
APNNPC
Provider Entity Type
Individual
Gender
Female
Address
11020 State Route 250, Lawrenceville, IL, 62439-0516
Phone Number
618-943-2609
Fax Number
618-943-6409
Provider Enumeration Date
07/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
376006178007 05 IL
731354 01 IL HEALTH LINK INS
5132004 01 IL BCBS
838915 01 UNITED HEALTHCARE
109800 01 IL HEALTH ALLIANCE INS
1729885 01 FIRST HEALTH
institution
Provider Business Practice Location Address Details
Address
11020 State Route 250
City
State
Zip
62439-3379
Phone Number
618-943-2609
Fax Number
618-943-6409
person
Provider Business Mailing Address Details
Address
11020 State Route 250
City
State
Zip
62439-3379
Phone Number
618-943-2609
Fax Number
618-943-6409
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
209005713 (Illinois)
Definition
Definition to come...
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