# THOMAS WAYNE FULBRIGHT

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1548213119
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 0421422 | KS | Yes |
| 207Q00000X | Family Medicine Physician | 2008009944 | MO | — |
| 208M00000X | Hospitalist Physician | 0421442 | KS | — |
| 208M00000X | Hospitalist Physician | 2008009944 | MO | — |

## Other

- **Enumeration date:** 05/18/2006
- **Last updated:** 12/12/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 19774052 | BLUE CROSS BLUE SHIELD KC | KS |