Individual
DR. GAY FULKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
310 S MAIN ST, LEITCHFIELD, KY 42754-1428
(270) 259-9633
(270) 259-0061
Mailing address
310 S MAIN ST, LEITCHFIELD, KY 42754-1428
(270) 259-9633
(270) 259-0061
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
30387
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000051584
ANTHEM
KY
01
—
080095920
RAILROAD MEDICARE
KY
05
—
64303878
—
KY
Enumeration date
08/21/2006
Last updated
08/12/2024
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