Provider Demographics
NPI:1578351003
Name:DUKE, JOHN FULTON (ND)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:FULTON
Last Name:DUKE
Suffix:
Gender:M
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12119 W 101ST ST
Mailing Address - Street 2:
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66215-1963
Mailing Address - Country:US
Mailing Address - Phone:913-972-4815
Mailing Address - Fax:
Practice Address - Street 1:11791 W 112TH ST STE 100
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66210-2755
Practice Address - Country:US
Practice Address - Phone:913-214-6536
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-25
Last Update Date:2025-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ25-1917175F00000X
KS21-00091175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath