Kenneth Fults

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

License

D5384 Issued in TX

Legal business name

KENNETH FULTS

Practice address

11600 Jones Rd
Suite108-5
Houston, TX 77070-5929

Phone

(713) 981-1522

Fax

(713) 981-9038

NPI assigned

Jul 25, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth L Fults II, D.O.

Title

President

Phone

(713) 981-1522

Specialties & licenses 1

Addresses

Tax ID family

Center for Orthopedic Medicine PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Center for Orthopedic Medicine, P.a.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Houston, TX
  • NPI 1588863278
  NPD tax ID

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185321600000",
    "number": "1851581052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 E 5TH ST",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757014224",
            "telephone_number": "903-526-5000",
            "fax_number": "903-526-5006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11600 JONES RD",
            "address_2": "SUITE108-5",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770705929",
            "telephone_number": "713-981-1522",
            "fax_number": "713-981-9038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH FULTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-25",
        "last_updated": "2007-07-25",
        "status": "A",
        "authorized_official_last_name": "FULTS",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-981-1522",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "TX",
            "license": "D5384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yliana Kennedy
• Thomas Kennelly
• Gia Denise Kenner, DDS
• Kenneth a. Lepow, DDS, Inc.
• Kenneth Alo MD PA
• Kenneth G Berliner MD PA
• Kenneth G. Ballard, D.O., P.a.
• Kenneth M. Lubritz DDS Inc.
• Kenneth N. Huete D.C.
• Kenneth O. Albers, M.D., P.a.

• Pain Medicine Physician in Houston, TX
• Providers in Houston, TX by specialty
• Pain Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.