Gunn, Kelly Fulmer

Gunn, Kelly Fulmer is an individual health care provider with primary practice located at 5232 Sunset Blvd , Lexington SC 29072-9347. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand, which is considered as her primary health care specialty. Gunn, Kelly Fulmer can be contacted via phone (803) 756-4744.

Contact Information

Primary practice address
5232 Sunset Blvd Lexington SC 29072-9347
Phone: (803) 756-4744
Fax: (803) 520-3125
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand 225XH1200X 2759 South Carolina

Profile Details

NPI number 1811961501
LBN Legal business name Gunn, Kelly Fulmer
Credentials OTRL CHT
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2006
Last updated Jul 26th, 2021 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1811961501 NPPES
South Carolina MEDICAID TH1558

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