Kathryn M Fulghum, APRN | |
3600 E Harry St, Wichita, KS 67218-3713 | |
(316) 689-5475 | |
(316) 691-6772 |
Full Name | Kathryn M Fulghum |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 3600 E Harry St, Wichita, Kansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649616988 | NPI | - | NPPES |
2010725400A | Medicaid | KS | |
1101723267 | Other | MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 53-75971 (Kansas) | Primary |
Entity Name | Ascension Via Christi Hospitals Wichita Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871589333 PECOS PAC ID: 5799696944 Enrollment ID: O20031118000404 |
Entity Name | Cotton O'neil Clinic Revocable Trust |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811944457 PECOS PAC ID: 5496659195 Enrollment ID: O20031124000674 |
Mailing Address | Practice Location Address |
---|---|
Kathryn M Fulghum, APRN 12114 E Mainsgate St, Wichita, KS 67226-4528 Ph: (316) 619-7729 | Kathryn M Fulghum, APRN 3600 E Harry St, Wichita, KS 67218-3713 Ph: (316) 689-5475 |
Mavis A Schultz, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3100 N Hillside St, Wichita, KS 67219 Phone: 316-682-3100 Fax: 316-618-8537 | |
Jacob Loveless, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 818 N Emporia St Ste 200, Wichita, KS 67214 Phone: 316-263-0296 | |
Amanda Barrett, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2707 E 21st St N, Wichita, KS 67214 Phone: 316-691-0249 | |
Mr. Norman Keith Trevolt, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 848 N. St Francis, Ste 3901, Wichita, KS 67214 Phone: 316-268-8500 Fax: 316-291-7993 | |
Kathryn M Filby, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 550 N Hillside, Wichita, KS 67214 Phone: 316-962-8580 Fax: 316-962-8581 | |
Ms. Shirley Rae Parish, RN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3620 E Sunnybrook Ln, Suite C, Wichita, KS 67210 Phone: 316-651-0062 | |
Dawn M Schake, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9350 E 35th St N Ste 101, Wichita, KS 67226 Phone: 316-265-1308 Fax: 316-265-4480 |