NPI 1073362190

Dominique Noelle Fulk, OD

Practitioner Optometrist Pikeville, KY

Practice location

Address: 147 Sycamore St Ofc 401b, Pikeville, KY 41501-9118
Phone: (606) 218-5836

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 2377DT (KY)

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Registry record

NPI: 1073362190
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 May 2024
Record last updated: 13 May 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.