Individual
BARBARA F. FULBRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1850 BLUEGRASS AVE, LOUISVILLE, KY 40215-1161
(502) 361-6617
(502) 361-6637
Mailing address
6801 DIXIE HWY, SUITE 130, LOUISVILLE, KY 40258-3913
(502) 451-5855
(502) 479-1409
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
930A
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
430052671
RR MEDICARE
KY
05
—
74367616
—
KY
Enumeration date
05/28/2006
Last updated
08/31/2007
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