Dr. Kenneth Dwayne Fulks
Plastic and Reconstructive Surgery
1601 Hatcher Ln
Columbia
, Tennessee 38401-4826
Dr. Kenneth Dwayne Fulks
Plastic and Reconstructive Surgery
1601 Hatcher Ln
Columbia
, Tennessee 38401-4826
(931) 388-0719
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About
Features
Specialties
- Plastic and Reconstructive Surgery
Languages spoken
- English
Location
First Address
- Dr. Kenneth Dwayne Fulks
- 1601 Hatcher Ln
- Columbia, TN
- Zip : 38401-4826
- Fax : (931) 388-0719
- Phone : (931) 381-2802
Second Address
- Dr. Kenneth Dwayne Fulks
- 1601 Hatcher Ln
- Columbia, TN
- Zip : 38401-4826
- Fax : (931) 388-0719
- Phone : (931) 381-2802
Reviews
FAQs
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Is Dr. Kenneth Dwayne Fulks a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0122X | Plastic and Reconstructive Surgery | MD019595 | TN |
National Provider Identifier
| NPI | 1144237751 |
|---|---|
| Provider Name | Dr. Kenneth Dwayne Fulks |
| First Address | Columbia, TN 38401-4826 |
| Second Address | Columbia, TN 38401-4826 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/08/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 3059467 | (05) | TN |
| D32244 | (02) | TN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.