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:
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Health care specialties

SpecialtyCodeLicense #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 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1912165713 NPPES
Connecticut MEDICAID 1912165713
Connecticut Other 24641

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