| Mr Keith Quentin Fulton, CRNA | |
|
8885 Patches Cv, Bartlett, TN 38133-3801 | |
| (901) 619-0310 | |
| Not Available |
| Full Name | Mr Keith Quentin Fulton |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 8885 Patches Cv, Bartlett, Tennessee |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841267135 | NPI | - | NPPES |
| 3600621 | Medicaid | TN | |
| 3155973 | Other | TN | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 9001 (Tennessee) | Primary |
| 367500000X | Nurse Anesthetist, Certified Registered | 81-0068 (Mississippi) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Keith Quentin Fulton, CRNA 8885 Patches Cv, Bartlett, TN 38133-3801 Ph: (901) 619-0310 | Mr Keith Quentin Fulton, CRNA 8885 Patches Cv, Bartlett, TN 38133-3801 Ph: (901) 619-0310 |
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› Verified 8 days ago
Emily L Poppelreiter, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2986 Kate Bond Rd, Bartlett, TN 38133 Phone: 901-765-3265 |