Dr. Kenneth Dwayne Fulks, MD
Dr. Kenneth Dwayne Fulks, MD is a Plastic and Reconstructive Surgery in Columbia, Tennessee. Qualified in 1985, 41 years ago. Practices with Maury Regional Medical Group, Inc, a 120-clinician group and accepts Medicare assignment. Licensed in Tennessee.
- Years since qualifying
- 41
- Licensed in
- TN
- In the registry since
- 2006
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
1601 Hatcher LnColumbia, TN 38401-4826
Phone: (931) 381-2802
Fax: (931) 388-0719
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Plastic and Reconstructive Surgery Physician (primary) | Taxonomy 2086S0122X · Licence MD019595 (TN) |
|---|
Record details
| NPI number | 1144237751 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | Yes |
| NPI enumerated | August 3, 2006 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | 1601 Hatcher Ln, Columbia, TN 38401-4826 |
Medicare enrollment
| Medicare specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
|---|---|
| Medical school | OTHER |
| Graduated | 1985 (41 years in practice) |
| Group practice | Maury Regional Medical Group, Inc — 120 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 4 on file with Medicare |