TARA FULKERSON

Case Manager/Care Coordinator

Active Individual
NPI: 1265772867

Practice Address

4710 CHAMPIONS TRACE LN
#104
Louisville, KY 40218

Phone: (502) 589-8600

Specialties

Specialty Code Primary License
Rehabilitation Counselor 225C00000X No -
Case Manager/Care Coordinator 171M00000X Yes -

Frequently Asked Questions

NPI 1265772867 is the National Provider Identifier for TARA FULKERSON, a Case Manager/Care Coordinator provider located in Louisville, KY. This NPI was enumerated on February 20, 2013.
TARA FULKERSON practices at 4710 CHAMPIONS TRACE LN, #104, Louisville, KY 40218.

Quick Facts

NPI
1265772867
Type
Individual
Enumerated
Feb 20, 2013
Last Updated
May 5, 2014

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