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

Kenneth Guy Fulp, DO

Individual provider Anesthesiology Physician · NPI 1083668800

Kenneth Guy Fulp, DO is an Anesthesiology in Tulsa, Oklahoma. Graduated from At Still University of Health Sciences, College of Osteo Med, Kirksville in 1997, 29 years ago. Licensed in Oklahoma.

Years since qualifying
29
Trained at
At Still University of Health Sciences, College of Osteo Med, Kirksville
Licensed in
OK
In the registry since
2006
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

4750 S Garnett Rd
Tulsa, OK 74146-5222
Phone: (918) 710-4112
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 5873 (OK)

Record details

NPI number1083668800
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 19, 2006
Last updated in NPPESSeptember 30, 2025
Certification dateSeptember 30, 2025
Mailing address4750 S Garnett Rd, Tulsa, OK 74146-5222

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolAT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Graduated 1997 (29 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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