Search › Missouri › 1041C0700X
Carolyn Fulgham
NPI 1871965343 · on the registry since 2015 · sole proprietor
Practice
- Address
- 5471 Dr Martin Luther King Dr
Saint Louis, MO 63112 - Phone
- (314) 367-5820
- Organisation at this address
- Carestl Health
Carestl Health #1Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 188
Additional practice sites
- 330 N Gore Ave, Saint Louis, MO
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 104100000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-11-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri