JACOB I FULKERSON

LOUISVILLE, KY
NPI1093026858
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: KY  46144)
Additional Taxonomies207P00000X Emergency Medicine
(Licence: SC  LL32875)
Enumeration Date2010-06-27
Last Update Date2021-03-03
Business Address
Dr. JACOB I FULKERSON M.D.
200 ABRAHAM FLEXNER WAY
LOUISVILLE, KY 40202
Phone number: 502-852-5689
Mailing Address
Dr. JACOB I FULKERSON M.D.
PO BOX 909
LOUISVILLE, KY 40201-0909
Phone number: