Individual
MRS. JILL ARVIN FULKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
132 SARATOGA CIR, RICHMOND, KY 40475-8302
(859) 200-2909
Mailing address
132 SARATOGA CIR, RICHMOND, KY 40475-8302
(859) 200-2909
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
KY-3438
KY
Other
Enumeration date
05/23/2008
Last updated
11/12/2010
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