Individual
DR. ZACHARIAH RONALD FULMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3606 KLONDIKE LN, LOUISVILLE, KY 40218-1711
(502) 451-3931
Mailing address
400 NICKLEBY WAY, LOUISVILLE, KY 40245-4066
(502) 245-3280
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3328
KY
Other
Enumeration date
05/06/2007
Last updated
07/08/2007
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