Fuller, Kelly

Fuller, Kelly is an individual health care provider with primary practice located at 400 E Sheridan Rd , Melbourne FL 32901-3184. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Fuller, Kelly can be contacted via phone (321) 722-5200.

Contact Information

Primary practice address
400 E Sheridan Rd Melbourne FL 32901-3184
Phone: (321) 722-5200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X APRN11000259 Florida
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X APRN11000259 Florida

Profile Details

NPI number 1144793407
LBN Legal business name Fuller, Kelly
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2019
Last updated Feb 28th, 2024 - about 10 months 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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