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Contact Information

BARBARA J FULLER, PAC
1000 HEALTH CNTR DR
KYLE HEALTH CENTER
KYLE, SD57752
 Phone: 605-455-8211
 Fax: 605-455-1289
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for BARBARA J FULLER · (Female)

NPI # 1326016874
Status Active
Credentials PAC
Entity Individual
Enumeration date 03/10/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • CA License # 14659
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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