Individual
DR. JUSTIN L FULK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
609 BAPTISTE DR, PAOLA, KS 66071-1334
(913) 294-3851
(913) 294-9033
Mailing address
609 BAPTISTE DR, PAOLA, KS 66071-1334
(913) 294-3851
(913) 294-9033
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
01-04997
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000062244
BCBS KS ID #
KS
Enumeration date
05/24/2006
Last updated
01/19/2024
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