Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KENNETH DWAYNE FULKS, M.D.
Active Sole ProprietorDR. KENNETH DWAYNE FULKS, M.D. is a Plastic and Reconstructive Surgery healthcare provider located in COLUMBIA, Tennessee. NPI 1144237751 is currently active in the NPPES registry. Verify at CMS.
Plastic and Reconstructive Surgery · COLUMBIA, TN
Registration Details
- NPI Number
- 1144237751
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 3, 2006 (20.04634386962 yrs)
- Last Updated
- Jul 8, 2007
- License
-
MD019595 (TN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1601 HATCHER LNCOLUMBIA, TN, 384014826Browse TN providers · Browse ZIP 38401
- Phone
- 9313812802
- Fax
- 9313880719
- Primary Specialty
-
Plastic and Reconstructive Surgery
2086S0122X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.