Burke Keith Fulcher
Student in an Organized Health Care Education/Training Program in China Grove, NC. Individual provider (NPI-1).
NPI number1669919957
StatusActive
Last updated in NPPESJan 24, 2017
Details
- NPI
- 1669919957
- Entity type
- Individual (NPI-1)
- Name
- Burke Keith Fulcher
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 24, 2017
- Last updated
- Jan 24, 2017
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – |
Practice location
220 Saw RdChina Grove, NC 28023-8541
Phone 704-223-0084
Mailing address
220 Saw RdChina Grove, NC 28023-8541
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Student in an Organized Health Care Education/Training Program providers in China Grove, NC
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