Kimberley Fulton
Individual provider Active NPI Licensed Practical Nurse · Trotwood, OH
NPI 1831453554 · NPPES record last updated Jun 30, 2012
Key facts
- NPI
- 1831453554
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 138188 (OH)
- Practice address
- 360 Burman Ave
Trotwood, OH 45426-2716 - Phone
- (937) 397-9868
- NPI assigned
- Jun 27, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 138188 | OH | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 138188 | OH | Yes |
Addresses
Primary practice location
360 Burman Ave
Trotwood, OH 45426-2716
Mailing address
360 Burman Ave
Trotwood, OH 45426-2716
Phone (937) 397-9868
Other providers in Trotwood, OH
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- Xiomara A France
- Nicole Gay
- Talia Renee Generette
- Eniyah Marie Gilbert
- Karen Goines
- Diamond Lashae Goodall
All providers in Trotwood, OH · Licensed Practical Nurse in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 30, 2012. 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.