AUSTIN FULTZ

BOWLING GREEN, KY
NPI1669134664
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: KY  3017299)
Enumeration Date2021-10-07
Last Update Date2022-02-09
Business Address
Mr. AUSTIN FULTZ CRNA DNAP
250 PARK ST
BOWLING GREEN, KY 42101-1760
Phone number: 270-745-1111
Mailing Address
Mr. AUSTIN FULTZ CRNA DNAP
PO BOX 2697
BOWLING GREEN, KY 42102-7697
Phone number: 270-745-1111
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