Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Katie Marie Fulk, MA, RDN, LD

Individual provider Registered Dietitian · NPI 1114702172

Katie Marie Fulk, MA, RDN, LD is a Registered Dietitian in Churubusco, Indiana. Works from 2 locations. Licensed in Indiana.

Licensed in
IN
In the registry since
2023
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
RDN — Registered Dietitian Nutritionist
The current title for a registered dietitian.
LD — Licensed Dietitian
A dietitian licensed by a state board.

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Practice location Address checks out

12436 Bryie Rd
Churubusco, IN 46723-9225
Phone: (765) 744-8889
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1050 Production Rd, Fort Wayne, IN 46808-4106 — (260) 266-6562

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 37002864A (IN)

Record details

NPI number1114702172
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , RDN , LD
Sole proprietorNo
NPI enumeratedAugust 29, 2023
Last updated in NPPESSeptember 21, 2023
Certification dateSeptember 21, 2023

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