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

Mrs. Kimothy Ann Fulk, APNNPC

Individual provider Adult Health Nurse Practitioner · NPI 1770515728

Mrs. Kimothy Ann Fulk, APNNPC is an Adult Health Nurse Practitioner in Lawrenceville, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006

Practice location Address checks out

11020 State Route 250
Lawrenceville, IL 62439-3379
Phone: (618) 943-2609
Fax: (618) 943-6409
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 209005713 (IL)

Record details

NPI number1770515728
Entity typeIndividual (Type 1)
GenderFemale
Credentials APNNPC
Sole proprietorNo
NPI enumeratedJuly 7, 2006
Last updated in NPPESSeptember 9, 2019

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