| Kathryn M Fulghum, APRN | |
| 
					3600 E Harry St, Wichita, KS 67218-3713  | |
| (316) 689-5475 | |
| (316) 691-6772 | 
| Full Name | Kathryn M Fulghum | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner | 
| Location | 3600 E Harry St, Wichita, Kansas | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1649616988 | NPI | - | NPPES | 
| 1101723267 | Other | MEDICARE | |
| 2010725400A | Medicaid | KS | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 53-75971 (Kansas) | Primary | 
| Entity Name | Ascension Via Christi Hospitals Wichita Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1871589333 PECOS PAC ID: 5799696944 Enrollment ID: O20031118000404  | 
| Entity Name | Cotton O'neil Clinic Revocable Trust | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1811944457 PECOS PAC ID: 5496659195 Enrollment ID: O20031124000674  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Kathryn M Fulghum, APRN 12114 E Mainsgate St, Wichita, KS 67226-4528 Ph: (316) 619-7729  | Kathryn M Fulghum, APRN 3600 E Harry St, Wichita, KS 67218-3713 Ph: (316) 689-5475  | 
Mavis A Schultz, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3100 N Hillside St, Wichita, KS 67219 Phone: 316-682-3100 Fax: 316-618-8537  | |
Jacob Loveless, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 818 N Emporia St Ste 200, Wichita, KS 67214 Phone: 316-263-0296  | |
Amanda Barrett, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3715 N Oliver St, Wichita, KS 67220 Phone: 316-942-4519 Fax: 316-942-4655  | |
Anna Christine Kill, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3343 W Central Ave, Wichita, KS 67203 Phone: 316-260-4110 Fax: 316-351-5731  | |
Mr. Norman Keith Trevolt, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 848 N. St Francis, Ste 3901, Wichita, KS 67214 Phone: 316-268-8500 Fax: 316-291-7993  | |
Kathryn M Filby, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 550 N Hillside, Wichita, KS 67214 Phone: 316-962-8580 Fax: 316-962-8581  | |
Ms. Shirley Rae Parish, RN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3620 E Sunnybrook Ln, Suite C, Wichita, KS 67210 Phone: 316-651-0062  |