KENNETH DWAYNE FULKS

COLUMBIA, TN
NPI1144237751
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2086S0122X Surgery, Plastic and Reconstructive Surgery
(Licence: TN  MD019595)
Enumeration Date2006-08-03
Last Update Date2007-07-08
Business Address
Dr. KENNETH DWAYNE FULKS M.D.
1601 HATCHER LN
COLUMBIA, TN 38401-4826
Phone number: 931-381-2802
Mailing Address
Dr. KENNETH DWAYNE FULKS M.D.
1601 HATCHER LN
COLUMBIA, TN 38401-4826
Phone number: 931-381-2802
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