Mrs. Kimothy Ann Fulk
APN NP C | Nurse Practitioner - Adult Health
11020 State Route 250, Lawrenceville
Illinois, 62439-3379
618-943-2609
Mrs. Kimothy Ann Fulk is a Lawrenceville, Illinois based nurse practitioner who is specialized as Adult Health nurse. Active license number of Mrs. Kimothy Ann Fulk is 209005713 for Adult Health in Illinois. Her current practice location is 11020 State Route 250, Lawrenceville. Patients can reach her at 618-943-2609 or can fax her at 618-943-6409. Mrs. Kimothy Ann Fulk is APN NP C with specialization in Adult Health and her NPI number (Unique professional ID assigned by NPPES) is 1770515728.
Mrs. Kimothy Ann Fulk can evaluate, diagnose patients overall wellness, and conditions such as cancer, heart disease, diabetes, arthritis, sports injuries, and other ailments. She can see patients and promote healthy living and wellness. She can perform physical examinations, order and interpret tests, prescribe medications and treatments, and can also provide education and counseling to patients on wellness strategies and disease prevention.
Complete Profile:
Mrs. Kimothy Ann Fulk speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Mrs. Kimothy Ann Fulk |
| Specialization: | Adult Health Nurse Practitioner (ANP) |
| Gender: | Female |
| Credentials: | APN NP C |
| Practice Address: | 11020 State Route 250, Lawrenceville,
Illinois, 62439-3379 |
| Phone: | 618-943-2609 |
| Fax: | 618-943-6409 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1770515728 |
| NPI Enumeration Date: | 07 Jul, 2006 |
| NPI Last Update On: | 09 Sep, 2019 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mrs. Kimothy Ann Fulk are as mentioned below.
| License Number | Specialization | State | Status | |
| 209005713 | Adult Health | Illinois | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Mrs. Kimothy Ann Fulk such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 376006178007 | Medicaid | Illinois | |
| 731354 | Other | Illinois | HEALTH LINK INS |
| 5132004 | Other | Illinois | BCBS |
| 838915 | Other | | UNITED HEALTHCARE |
| 109800 | Other | Illinois | HEALTH ALLIANCE INS |
| 1729885 | Other | | FIRST HEALTH |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Mrs. Kimothy Ann Fulk
Po Box 516,
Lawrenceville, Illinois |
| Zip: | 62439-0516 |
| Phone Number: | 618-943-2609 |
| Fax Number: | 618-943-6409 |
Patients can reach Mrs. Kimothy Ann Fulk at
11020 State Route 250, Lawrenceville, Illinois or can
call to book an appointment on 618-943-2609.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.