Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | 07001099A | IN |
Y | 222Z00000X | Podiatrist | 07001099A | IN |
NPI | 1023345956 |
---|---|
Provider Name | Karl Andrew Fulkert |
First Address | Worthington, OH 43085-2354 |
Second Address | Worthington, OH 43085-2354 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/11/2009 |
Last Update Date | 06/02/2015 |