Fuller, Kayleen M

Fuller, Kayleen M is an individual health care provider with primary practice located at 8706 S 700 E Ste 103 , Sandy UT 84070-1808. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Fuller, Kayleen M can be contacted via phone (801) 652-2720.

Contact Information

Primary practice address
8706 S 700 E Ste 103 Sandy UT 84070-1808
Fax: (801) 606-7738
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 200419-2501 Utah

Profile Details

NPI number 1073552402
LBN Legal business name Fuller, Kayleen M
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2006
Last updated Apr 18th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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