| Haley Renee Fulkerson, RD | |
|
411 E Chestnut St # 5a6b, Louisville, KY 40202-1713 | |
| (502) 588-9490 | |
| (502) 588-7712 |
| Full Name | Haley Renee Fulkerson |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 411 E Chestnut St # 5a6b, Louisville, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821281163 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 123904 (Kentucky) | Primary |
| Provider Name | Norton Childrens Medical Group Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1457999096 PECOS PAC ID: 3779917596 Enrollment ID: O20200102000758 |
| Mailing Address | Practice Location Address |
|---|---|
| Haley Renee Fulkerson, RD Po Box 776879, Chicago, IL 60677-6879 Ph: (502) 559-9407 | Haley Renee Fulkerson, RD 411 E Chestnut St # 5a6b, Louisville, KY 40202-1713 Ph: (502) 588-9490 |
Sandra Meyerowitz, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2321 Lime Kiln Ln Ste B, Louisville, KY 40222 Phone: 502-339-9202 | |
Alexandra Joe Depriest, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 250 E Liberty St, Louisville, KY 40202 Phone: 502-587-4465 | |
Miss Cynthia Ann Chandler, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3101 Bardstown Rd, Sullivan University, Louisville, KY 40205 Phone: 502-456-6504 | |
Ms. Laurel Dawn Akers, RD CSG LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 721 S Preston St Fl 1, Louisville, KY 40203 Phone: 502-584-3338 Fax: 502-584-3380 | |
Mary Gwendolyn Pyle, RD, CD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3010 Taylor Springs Dr, Louisville, KY 40220 Phone: 502-458-4588 Fax: 502-458-4240 | |
Jessica Walker, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2603 Windsor Forest Dr, Louisville, KY 40272 Phone: 502-648-6248 | |
Ms. Leslie Anne Hildesheim, RD. LD. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 800 Zorn Ave, Louisville, KY 40206 Phone: 502-287-4000 |