Individual
STEVEN FULKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
651 OLDHAM AVE, RICHMOND, KY 40475-8119
(859) 626-2960
Mailing address
651 OLDHAM AVE, RICHMOND, KY 40475-8119
(859) 626-2960
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
BOTOCT00194841
KY
Other
Enumeration date
08/29/2014
Last updated
08/29/2014
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