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Contact Information

KRISTIN L FULLER, PA-C
20905 PROFESSIONAL PLAZA
SUITE 330
ASHBURN, VA20147
 Phone: 703-726-0003
 Fax: 703-726-6444
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for KRISTIN L FULLER · (Female)

NPI # 1487958625
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 01/03/2011
Last updated 09/04/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • VA License # 0110003507
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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