Individual
KEIRSTIAN FULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21287 HIGHWAY 421, HYDEN, KY 41749-8554
(606) 672-3811
(606) 672-3926
Mailing address
21287 HIGHWAY 421, HYDEN, KY 41749-8554
(606) 672-3811
(606) 672-3926
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
022932
KY
Other
Enumeration date
12/28/2022
Last updated
12/28/2022
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