Individual
KEITH FULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
212 OUTLET WAY, GREENSBURG, PA 15601-7197
(724) 837-7810
Mailing address
212 OUTLET WAY, GREENSBURG, PA 15601-7197
(724) 837-7810
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
09/18/2016
Last updated
09/18/2016
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