HEIDI FULLER, Point of Service LOUISVILLE, KY

Contact Information

HEIDI FULLER

12121 SHELBYVILLE RD STE 101
LOUISVILLE, KY 40243-1094

Phone: 502-341-1599
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Point of Service	305S00000X

Indicates primary specialty

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NPI Profile & details for HEIDI FULLER · (Female)

NPI Number	`1730713173`
Status	Active
Credentials
Entity	Individual
Enumeration date	02/25/2020
Last updated	02/25/2020 - About 6 years ago
Sole proprietor ¹	Yes
Identifiers	Other 965136 MEDICAL SERVICES KY Other 000965136 CRANIAL PROSTHESIS
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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HEIDI FULLERPoint of Service

Contact Information

Specialty

Point of Service

NPI Profile & details for HEIDI FULLER · (Female)

Reviews for HEIDI FULLER

HEIDI FULLER
Point of Service