Healthcare Provider Details

I. General information

NPI: 1023345956
Provider Name (Legal Business Name): KARL ANDREW FULKERT DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/13/2009
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7620 OLENTANGY RIVER RD
COLUMBUS OH
43235-1363
US

IV. Provider business mailing address

7620 OLENTANGY RIVER RD
COLUMBUS OH
43235-1363
US

V. Phone/Fax

Practice location:
  • Phone: 614-885-8895
  • Fax: 614-785-6543
Mailing address:
  • Phone: 614-885-8895
  • Fax: 614-785-6543

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number07001099A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: