Individual
MRS. SHERRY RENAI FULKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
EARLY INTERVENTION
Contact information
Practice address
159 BRISTOL LN, MOUNT STERLING, KY 40353-7948
(859) 497-0704
(859) 497-0704
Mailing address
159 BRISTOL LN, MOUNT STERLING, KY 40353-7948
(859) 497-0704
(859) 497-0704
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
1667
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1667
GATEWAY FIRST STEPS PROV.
KY
Enumeration date
05/22/2007
Last updated
07/08/2007
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