Individual
DR. KRISTEN ANN FULTS-GANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3525 OLENTANGY RIVER RD STE 5360, COLUMBUS, OH 43214-3937
(614) 340-7747
(614) 340-7742
Mailing address
100 E CAMPUS VIEW BLVD, SUITE 160, COLUMBUS, OH 43235-4647
(614) 396-4733
(614) 396-4742
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
036099087
IL
2085R0202X
Diagnostic Radiology Physician
Primary
88964
OH
2085R0202X
Diagnostic Radiology Physician
M5172
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00379962
RR MEDICARE
—
Enumeration date
04/01/2006
Last updated
03/06/2025
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