Fuller, Kim

Fuller, Kim is an individual health care provider with primary practice located at 5665 Ponce De Leon Blvd Room 213, Coral Gables FL 33146-2510. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Fuller, Kim can be contacted via phone (305) 284-6874.

Contact Information

Primary practice address
5665 Ponce De Leon Blvd Room 213 Coral Gables FL 33146-2510
Phone: (305) 284-6874
Fax: (305) 284-1700
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY4602 Florida
Behavioral Health & Social Service Providers / Psychologist 103T00000X PY4602 Florida

Profile Details

NPI number 1750379996
LBN Legal business name Fuller, Kim
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2005
Last updated Jul 8th, 2007 - about 17 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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