Fultz, Kenneth

Fultz, Kenneth is an individual health care provider with primary practice located at 15941 Fairfield St , Detroit MI 48238-4123. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Fultz, Kenneth can be contacted via phone (313) 345-4310.

Contact Information

Primary practice address
15941 Fairfield St Detroit MI 48238-4123
Phone: (313) 345-4310
Fax: (313) 345-4315
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1023574787
LBN Legal business name Fultz, Kenneth
Credentials CPRM
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 18th, 2019
Last updated Feb 18th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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