Individual
KELLY FULTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
4175 BONITA DR., APT 9, MIDDLETOWN, OH 45042
(513) 465-4242
Mailing address
4175 BONITA DR., APT 9, MIDDLETOWN, OH 45042
(513) 465-4242
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
524967
OH
Other
Enumeration date
02/25/2025
Last updated
02/25/2025
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