| Doctor Name: | ROGER D FULKS |
| NPI Number: | 1003838855 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LCSW |
| License Number: | 1635 |
| Business Practice Address: | 445 Clinic Dr Morehead, KY - 403511077 |
| Business Phone Number: | 6067836663 |
| Business Fax Number: | 6067836971 |
| Mailing Address: | 475 Clinic Dr, MOREHEAD |
| State: | KY |
| Postal Code: | 403511077 |
| Phone Number: | 6067836663 |
| Fax Number: | 6067836971 |
| NPI Enumeration Date: | 07/24/2006 |
| NPI Last Update Date: | 02/11/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 1635 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | KY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |