Individual
DR. RONALD L FULKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PSC
Contact information
Practice address
1300 W LEXINGTON AVE, WINCHESTER, KY 40391
(859) 744-8003
(859) 744-2286
Mailing address
1300 W LEXINGTON AVE, WINCHESTER, KY 40391
(859) 744-8003
(859) 744-2286
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
18417
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64184179
—
KY
05
—
65914350
—
KY
Enumeration date
02/21/2007
Last updated
04/25/2008
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