Individual
DR. DESTINY DENISE FOULK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
624 S NATIONAL AVE, FORT SCOTT, KS 66701-1317
(620) 223-6440
(620) 223-6998
Mailing address
624 S NATIONAL AVE, FORT SCOTT, KS 66701-1317
(620) 223-6440
(620) 223-6998
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1741
KS
152WC0802X
Corneal and Contact Management Optometrist
1741
KS
152WL0500X
Low Vision Rehabilitation Optometrist
1741
KS
152WP0200X
Pediatric Optometrist
1741
KS
152WS0006X
Sports Vision Optometrist
1741
KS
152WV0400X
Vision Therapy Optometrist
1741
KS
152WX0102X
Occupational Vision Optometrist
Primary
1741
KS
Other
Enumeration date
09/27/2006
Last updated
09/11/2025
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