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Contact Information

ANDREA M FULLERTON, MD
1515 S CLIFTON
STE 400
WICHITA, KS67208
 Phone: 316-636-1550
 Fax: 316-689-9769
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for ANDREA M FULLERTON · (Female)

NPI # 1063617587
Status Active
Credentials MD
Entity Individual
Enumeration date 06/15/2007
Last updated 02/07/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • KS License # 046772
  • KS Medicaid 200865920A
  • Other 003719131 MEDICARE
  • OK Other 200429620A OK MEDICAID
Hospital affiliation(s)
  • VIA CHRISTI HOSPITALS WICHITA INC - (Acute Care)
    929 NORTH ST FRANCIS STREET
    WICHITA, KS 67214
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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