Individual
THOMAS WAYNE FULBRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8901 W 74TH ST STE 2, SHAWNEE MISSION, KS 66204-2201
(913) 261-2222
(913) 261-2229
Mailing address
8901 W 74TH ST STE 2, SHAWNEE MISSION, KS 66204-2201
(913) 261-2222
(913) 261-2229
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0421422
KS
207Q00000X
Family Medicine Physician
2008009944
MO
208M00000X
Hospitalist Physician
0421442
KS
208M00000X
Hospitalist Physician
2008009944
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19774052
BLUE CROSS BLUE SHIELD KC
KS
Enumeration date
05/18/2006
Last updated
12/12/2025
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