Individual
DR. KAREN V FUKUTAKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5121 STOCKDALE HWY, BAKERSFIELD, CA 93309-2656
(130) 366-7324
Mailing address
PO BOX 460541, DENVER, CO 80246-0541
(303) 667-3249
(602) 302-7925
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
26842
CO
2084P0800X
Psychiatry Physician
50652
AZ
2084P0800X
Psychiatry Physician
Primary
G147227
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01268424
—
CO
05
—
111271
—
AZ
01
—
260048251
RAILROAD MEDICARE
CO
Enumeration date
07/26/2006
Last updated
10/23/2023
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