Organization
GAY FULKERSON,M.D.,P.S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GAY FULKERSON M.D. (PRESIDENT)
(270) 259-9633
Entity
Organization
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
05
—
64303878
—
KY
Enumeration date
08/21/2006
Last updated
08/27/2024
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