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Individual

KATELYN O FULKERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
4209 GATEWAY BLVD, NEWBURGH, IN 47630-8900
(812) 853-5300
(812) 858-4660
Mailing address
PO BOX 1510, EVANSVILLE, IN 47706-1510
(812) 450-6815
(812) 450-6822

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28229841A
IN
208000000X
Pediatrics Physician
71010802A
IN
363L00000X
Nurse Practitioner
Primary
71010802A
IN

Other

Enumeration date
12/29/2020
Last updated
10/21/2022
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