Individual
DR. GREGORY KYLE FULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 HENRY CLAY AVE, NEW ORLEANS, LA 70118-5720
(504) 896-2143
Mailing address
200 HENRY CLAY AVE, NEW ORLEANS, LA 70118-5720
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
301258
LA
Other
Enumeration date
03/26/2013
Last updated
03/24/2016
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