Kenneth Guy Fulp D.O.

NPI 1083668800 - Anesthesiology - 207L00000X

NPI Details
NPI 1083668800
Gender Male
Enumeration Date 05/19/2006
Last Updated 09/19/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
6900 NORTH DURANGO DR
CENTENNIAL HILLS HOSPITAL
LAS VEGAS NV, 89149-4409, US
Phone (702) 835-9700
Fax (702) 835-9700
Business Location
8405 MYSTIC NIGHT AVE
LAS VEGAS NV, 89143-1358, US
Phone (702) 755-6709
Fax
Toxanomy
Taxonomy Code 207L00000X
License State Nevada
License Number DO1370
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According to our database, Kenneth Guy Fulp D.O. NPI is 1083668800, taxonomy code is 207L00000X and license number is DO1370, license state is located at Nevada. Kenneth Guy Fulp D.O. physically located at 6900 North Durango Dr, Las Vegas NV, 89149-4409. NPI Number Kenneth Guy Fulp D.O. has the Individual type.

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1083668800 NPI number is provided on an as is basis without warranty of any kind. 1083668800 is maintained by the National Plan & Provider Enumeration System. The contents of Kenneth Guy Fulp D.O. are for informational purposes only.