Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kathleen M Fulgenzi, MD

Individual provider Family Medicine Physician · NPI 1588656102

Kathleen M Fulgenzi, MD is a Family Medicine Physician in St Clair Shores, Michigan. Licensed in Michigan. Registered with an NPI since 2005.

Licensed in
MI
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

24911 Little Mack Ave
St Clair Shores, MI 48080-3200
Phone: (586) 777-2050
Fax: (586) 777-2189
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 4301042670 (MI)

Record details

NPI number1588656102
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 19, 2005
Last updated in NPPESFebruary 18, 2014

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