Individual
KIMBERLEY ANN FULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1445 SHELDON RD STE 300, GRAND HAVEN, MI 49417-2479
(616) 296-1500
(616) 296-1502
Mailing address
1445 SHELDON RD STE 300, GRAND HAVEN, MI 49417-2479
(616) 296-1500
(616) 296-1502
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601002936
MI
Other
Enumeration date
07/12/2005
Last updated
07/01/2024
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