KIMOTHY ANN FULK

LAWRENCEVILLE, IL
NPI1770515728
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: IL  209005713)
Enumeration Date2006-07-07
Last Update Date2019-09-09
Business Address
Mrs. KIMOTHY ANN FULK APN NP C
11020 STATE ROUTE 250
LAWRENCEVILLE, IL 62439-3379
Phone number: 618-943-2609
Mailing Address
Mrs. KIMOTHY ANN FULK APN NP C
PO BOX 516
LAWRENCEVILLE, IL 62439-0516
Phone number: 618-943-2609
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