Ken Fullerton
Ken Fullerton is a Counselor in Provo, Utah. Registered with an NPI since 2016.
- In the registry since
- 2016
Practice location Address checks out
900 Columbia LnProvo, UT 84604-1320
Phone: (801) 375-4240
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X |
|---|
Record details
| NPI number | 1790141521 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | January 8, 2016 |
| Last updated in NPPES | January 8, 2016 |
| Mailing address | 619 N 500 W, Provo, UT 84601-1547 |
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