Fuller, Kevin Powell

Fuller, Kevin Powell is an sole proprietor health care provider with primary practice located at 1839 Zarker St , Harrisburg PA 17104-1351. He recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as his primary health care specialty. Fuller, Kevin Powell can be contacted via phone (717) 379-2546.

Contact Information

Primary practice address
1839 Zarker St Harrisburg PA 17104-1351
Phone: (717) 379-2546
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Home Health Aide 374U00000X 271077801 Pennsylvania

Profile Details

NPI number 1962737940
LBN Legal business name Fuller, Kevin Powell
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 9th, 2009
Last updated Oct 9th, 2009 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1962737940 NPPES
Pennsylvania MEDICAID 271077801

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