Kim Kevin Fuller D.C.

NPI 1063421147 - Chiropractor - 111NS0005X

NPI Details
NPI 1063421147
Gender Male
Enumeration Date 08/06/2006
Last Updated 11/21/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
106 WIMBLEDON SQ
CHESAPEAKE VA, 23320-4931, US
Phone (757) 436-1037
Fax (757) 547-4031
Business Location
449 BROAD BEND CIR
CHESAPEAKE VA, 23320-9292, US
Phone (757) 436-3473
Fax
Toxanomy
Taxonomy Code 111NS0005X
License State Virginia
License Number 0104000403
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According to our database, Dr. Kim Kevin Fuller D.C. NPI is 1063421147, taxonomy code is 111NS0005X and license number is 0104000403, license state is located at Virginia. Kim Kevin Fuller D.C. physically located at 106 Wimbledon Sq, Chesapeake VA, 23320-4931. NPI Number Kim Kevin Fuller D.C. has the Individual type.

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1063421147 NPI number is provided on an as is basis without warranty of any kind. 1063421147 is maintained by the National Plan & Provider Enumeration System. The contents of Kim Kevin Fuller D.C. are for informational purposes only.