Kenneth Guy Fulp, DO

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

5873 Issued in OK

Practice address

10525 S Koa St
Jenks, OK 74037-2382

Phone

(918) 855-1642

NPI assigned

May 19, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ, OK2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Anesthesiology

Education

At Still University of Health Sciences, College of Osteo Med, Kirksville, 1997

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Access Solutions Rheumatology, LLC

  • Rheumatology Physician
  • Tulsa, OK
  • NPI 1770390015
  Medicare reassignment NPD
• Western Oklahoma Anesthesia Consultants PLLC

  • Anesthesiology Physician
  • Elk City, OK
  • NPI 1881102614
  Medicare reassignment NPD
• American Current Care, PA

  dba Concentra Urgent Care

  • Health Service Clinic/Center
  • Addison, TX
  • NPI 1871770784

  OK

  Medicare reassignment NPD
• Emergenchealth PLLC

  • Anesthesiology Physician
  • Fort Worth, TX
  • NPI 1467970897

  OK

  Medicare reassignment NPD
• Sjhmc Physician Services

  dba St. Joseph's Faculty Physicians

  • Multi-Specialty Clinic/Center
  • Phoenix, AZ
  • NPI 1326098005
  Medicare reassignment NPD
• American Current Care P.a.

  dba Concentra Urgent Care

  • Urgent Care Clinic/Center
  • Beaumont, TX
  • NPI 1376356568
  NPD
• St. Joseph's Hospital and Medical Center

  dba SJHMC Trauma Services

  • Emergency Care Clinic/Center
  • Phoenix, AZ
  • NPI 1255382412
  NPD
• St. Joseph's Outpatient Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Phoenix, AZ
  • NPI 1306843222
  NPD
• Anesthesia and Intensive Care Specialists LLP

  • Anesthesiology Physician
  • Las Vegas, NV
  • NPI 1376690966
  NPD (past)
• Casa Grande Community Hospital

  dba Casa Grande Regional Anesthesia

  • Anesthesiology Physician
  • Casa Grande, AZ
  • NPI 1073566857
  NPD (past)
• Regional Care Physicians Grooup

  • Family Medicine Physician
  • Casa Grande, AZ
  • NPI 1720236912

  Anesthesiology

  NPD (past)
• Sheridan Drozdow Healthcare of Nevada PC

  dba Sheridan Healthcare of Nevada PC

  • Anesthesiology Physician
  • Las Vegas, NV
  • NPI 1003019266
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786492800000",
    "number": "1083668800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10525 S KOA ST",
            "city": "JENKS",
            "state": "OK",
            "postal_code": "740372382",
            "telephone_number": "918-855-1642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10525 S KOA ST",
            "city": "JENKS",
            "state": "OK",
            "postal_code": "740372382",
            "telephone_number": "918-855-1642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULP",
        "first_name": "KENNETH",
        "middle_name": "GUY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OK",
            "license": "5873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michaela Foote
• Barbara Ford, MS CCC SLP
• Talia Fore
• Haley Forrest
• Matthew Bryan Fowler, D.O.
• Julissa Gabino, RBT
• Outumn Marie Gaither
• Leah Catherine Gassett
• Cherrah Giles
• Serina Lynn Gilhouse

• Anesthesiology Physician in Jenks, OK
• Providers in Jenks, OK by specialty
• Anesthesiology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.