| Doctor Name: | MRS. SHERRY RENAI FULKS |
| NPI Number: | 1700096799 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | EARLY INTERVENTION |
| License Number: | 1667 |
| Business Practice Address: | 159 Bristol Ln Mount Sterling, KY - 403537948 |
| Business Phone Number: | 8594970704 |
| Business Fax Number: | 8594970704 |
| Mailing Address: | 159 Bristol Ln, MOUNT STERLING |
| State: | KY |
| Postal Code: | 403537948 |
| Phone Number: | 8594970704 |
| Fax Number: | 8594970704 |
| NPI Enumeration Date: | 05/22/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251K00000X |
| License Number: | 1667 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Public Health or Welfare |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |