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Contact Information

KIM K FULLER, D.C.
106 WIMBLEDON SQ
CHESAPEAKE, VA23320-4931
 Phone: 757-436-1037
 Fax: 757-547-4031
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Physician

111NS0005X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for KIM K FULLER · (Male)

NPI Number 1063421147
Status Active
Credentials D.C. (Doctor of Chiropractic)
Entity Individual
Enumeration date 08/06/2006
Last updated 11/21/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • VA License # 0104000403
Hospital affiliation(s) Not Available
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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