Kelli Suzanne Fultz (NPI# 1366777666, PAC ID# 8325317423) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1366777666 |
| PAC ID by PECOS | 8325317423 |
| Professional Enrollment ID | I20170807002829 |
| Full Name | Kelli Suzanne Fultz |
| Address |
222 H St Edwardsville IL 62025-1528 |
| Phone Number | 6185314831 |
| Gender | F |
| Medical School | WASHINGTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2000 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 222 H St, Edwardsville, IL 62025-1528 | 6185314831 |
| Street Address |
222 H ST |
| City | EDWARDSVILLE |
| State | IL |
| Zip | 62025-1528 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kevin R Treloar | Clinical Social Worker | 1046 Florida St, Edwardsville, IL 62025-1420 | |
| Robert P Devine | Chiropractic | 211 Hillsboro Ave, Edwardsville, IL 62025-1623 | |
| Nathan A Vuagniaux | Chiropractic | 309 Hillsboro Ave, Edwardsville, IL 62025-1727 | |
| Rachel V Tompkins | Psychologist, Clinical | 118 S Main St, Edwardsville, IL 62025-1904 | |
| Alexander R James | Psychologist, Clinical | 118 S Main St, Edwardsville, IL 62025-1904 | |
| Curtis R Baird | Chiropractic | 239 S Main St, Edwardsville, IL 62025-1921 | |
| Emily J Colvin | Chiropractic | Pain Relief Center of Vandalia Inc | 200 S Buchanan St, Edwardsville, IL 62025-2109 |
| Lois Ann Buchta Ladd | Chiropractic | 403 Wolf St, Edwardsville, IL 62025-2138 | |
| Natalie J Carr | Optometry | 2100 Troy Rd, Edwardsville, IL 62025-2595 | |
| Mark S Slaughter | Physical Therapy | 219 2nd Ave, Suite C, Edwardsville, IL 62025-2598 | |
| Find all physicians in zip 62025 | |||
| City | EDWARDSVILLE |
| Zip Code | 62025 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | EDWARDSVILLE + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Kelli Suzanne Fultz.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.