Fuller, Kim Kevin

Fuller, Kim Kevin is an sole proprietor health care provider with primary practice located at 106 Wimbledon Sq , Chesapeake VA 23320-4931. He recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as his primary health care specialty. Fuller, Kim Kevin can be contacted via phone (757) 436-1037.

Contact Information

Primary practice address
106 Wimbledon Sq Chesapeake VA 23320-4931
Phone: (757) 436-1037
Fax: (757) 547-4031
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Sports Physician 111NS0005X 0104000403 Virginia

Profile Details

NPI number 1063421147
LBN Legal business name Fuller, Kim Kevin
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 6th, 2006
Last updated Nov 21st, 2012 - about 12 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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