Individual
KIM L. FULMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
702 4TH AVE, HOLDREGE, NE 68949-2203
(308) 995-6105
(308) 995-6106
Mailing address
702 4TH AVE, HOLDREGE, NE 68949-2203
(308) 995-6105
(308) 995-6106
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9471
NE
Other
Enumeration date
05/12/2009
Last updated
05/12/2009
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