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Keith Fuller

NPI 1063968048 · on the registry since 2016 · sole proprietor

Practice

Address
11349 St Hwy 1056
Mccarr, KY 41544
Phone
(606) 427-9007

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
KY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-08-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kentucky