MICHAEL STEVEN FULKERSON

FORT CAMPBELL, KY
NPI1255315313
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: KY  5739)
Enumeration Date2005-12-02
Last Update Date2012-09-20
Business Address
Dr. MICHAEL STEVEN FULKERSON D.M.D.
2441 21ST STREET CDR, U.S. ARMY DENTAL ACTIVITY
FORT CAMPBELL, KY 42223-5369
Phone number: 270-798-8614
Mailing Address
Dr. MICHAEL STEVEN FULKERSON D.M.D.
2441 21ST STREET CDR, U.S. ARMY DENTAL ACTIVITY
FORT CAMPBELL, KY 42223-5369
Phone number: 270-798-8614