Individual
ALEXANDRA FULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16264 S BLAKE ST, OLATHE, KS 66062-2785
(913) 544-6472
Mailing address
16264 S BLAKE ST, OLATHE, KS 66062-2785
(913) 544-6472
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/06/2015
Last updated
12/06/2015
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