Fuller, Kisti Pope
Fuller, Kisti Pope is an individual health care provider with primary practice located at 1840 S Stapley Dr Ste 131 , Mesa AZ 85204-6683. She recently has only one registered license in Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, which is considered as her primary health care specialty. Fuller, Kisti Pope can be contacted via phone (480) 866-8787.Contact Information
Primary practice address
1840 S Stapley Dr Ste 131
Mesa AZ 85204-6683
Phone: (480) 866-8787
Fax: (480) 863-9770
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine | 207VM0101X | 24641 | Nevada |
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine | 207VM0101X | 48767 | Arizona |
Profile Details
NPI number | 1912165713 |
---|---|
LBN Legal business name | Fuller, Kisti Pope |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 28th, 2008 |
Last updated | Apr 2nd, 2024 - about 8 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1912165713 | NPPES |
Connecticut | MEDICAID | 1912165713 | |
Connecticut | Other | 24641 |
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