Kenneth Fultz, CPRM
Kenneth Fultz, CPRM is a Peer Specialist in Detroit, Michigan. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
15941 Fairfield StDetroit, MI 48238-4123
Phone: (313) 345-4310
Fax: (313) 345-4315
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X |
|---|
Record details
| NPI number | 1023574787 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CPRM |
| Sole proprietor | No |
| NPI enumerated | February 18, 2019 |
| Last updated in NPPES | February 18, 2019 |
| Mailing address | 15941 Fairfield St, Detroit, MI 48238-4123 |
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