Fullerton, Kelly Blaine

Fullerton, Kelly Blaine is an individual health care provider with primary practice located at 2110 S Coast Hwy Ste A , Oceanside CA 92054-6544. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Chiropractic Providers / Occupational Health. Chiropractic Providers / Chiropractor is his primary health care specialty. Fullerton, Kelly Blaine can be contacted via phone (760) 720-0000.

Contact Information

Primary practice address
2110 S Coast Hwy Ste A Oceanside CA 92054-6544
Phone: (760) 720-0000
Fax: (760) 687-0017
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 20978 California
Chiropractic Providers / Occupational Health 111NX0100X 20978 California

Profile Details

NPI number 1164802633
LBN Legal business name Fullerton, Kelly Blaine
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2015
Last updated Jun 1st, 2015 - about 9 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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