What is Kenneth Fultz's NPI number?

Kenneth Fultz's National Provider Identifier (NPI) is 1023574787, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Kenneth Fultz's specialty?

Kenneth Fultz is listed in the NPPES registry with a primary specialty of Peer Specialist (Other Service Providers).

Where is Kenneth Fultz located?

Kenneth Fultz's practice location on file with NPPES is 15941 Fairfield St, Detroit, MI 48238-4123.

What is Kenneth Fultz's phone number?

The practice phone number listed in the NPPES registry for Kenneth Fultz is (313) 345-4310.

Is Kenneth Fultz's NPI active?

Yes — Kenneth Fultz's NPI (1023574787) is active in the NPPES registry as of the last update on 2019-02-18.

IndividualActive

Kenneth Fultz, CPRM

NPI 1023574787 · Peer Specialist · Detroit, MI

Kenneth Fultz, CPRM is a Peer Specialist provider in Detroit, MI (NPI 1023574787).

Provider details

NPI number: 1023574787
Entity type: Individual
Primary specialty: Peer SpecialistOther Service Providers
Credential: CPRM
Sex: Male
Sole proprietor: No

Specialties & taxonomies

Peer SpecialistPrimary175T00000X
Other Service Providers

Profile Score

Established profile(60/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
7 yrs in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

15941 Fairfield St

Detroit, MI 48238-4123

Phone: (313) 345-4310

Fax: (313) 345-4315

Street-level locationGet directions

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Mailing address