Individual
MR. KEITH QUENTIN FULTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
8885 PATCHES CV, BARTLETT, TN 38133-3801
(901) 619-0310
Mailing address
8885 PATCHES CV, BARTLETT, TN 38133-3801
(901) 619-0310
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
81-0068
MS
367500000X
Certified Registered Nurse Anesthetist
Primary
9001
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3155973
BLUE CROSS
TN
05
—
3600621
—
TN
Enumeration date
03/05/2006
Last updated
01/12/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us