IndividualActive
Kenneth Fulks, M.D.
NPI 1144237751 · Plastic and Reconstructive Surgery Physician · Columbia, TN
Provider details
- NPI number
- 1144237751
- Entity type
- Individual
- Primary specialty
- Plastic and Reconstructive Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- MD019595 (TN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1601 Hatcher Ln
Columbia, TN 38401-4826
Phone: (931) 381-2802
Fax: (931) 388-0719
Approximate (ZIP-level) locationGet directions
Mailing address
1601 Hatcher Ln
Columbia, TN 38401-4826
Registry dates
- Enumerated
- 2006-08-03
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.