Kristi Fulmer
Individual provider Active NPI Counselor · Idabel, OK
NPI 1497945828 · NPPES record last updated Feb 27, 2009
Key facts
- NPI
- 1497945828
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 403 Redbird Dr
Idabel, OK 74745-3718 - Phone
- (580) 208-2744
- NPI assigned
- Aug 1, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
403 Redbird Dr
Idabel, OK 74745-3718
Mailing address
403 Redbird Dr
Idabel, OK 74745-3718
Other providers in Idabel, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 27, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.