Keri Ann Fulkerson
Keri Ann Fulkerson is a Clinical Social Worker in Grand Rapids, Michigan. Qualified in 2007, 19 years ago. Practices with Life Support LLC, a 6-clinician group and accepts Medicare assignment. Licensed in Michigan.
- Years since qualifying
- 19
- Licensed in
- MI
- In the registry since
- 2021
Practice location Address checks out
2730 5 Mile Rd NEGrand Rapids, MI 49525-6518
Phone: (616) 426-9159
Fax: (616) 222-0294
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence 6801089887 (MI) |
|---|
Record details
| NPI number | 1770151797 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | June 15, 2021 |
| Last updated in NPPES | June 15, 2021 |
| Certification date | June 15, 2021 |
Medicare enrollment
| Medicare specialty | CLINICAL SOCIAL WORKER |
|---|---|
| Medical school | OTHER |
| Graduated | 2007 (19 years in practice) |
| Group practice | Life Support Llc — 6 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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