DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. KRISTEN MICHELE FULLER, M.D.

Active Sole Proprietor

DR. KRISTEN MICHELE FULLER, M.D. is a Student (Health Education/Training) healthcare provider located in VILLA PARK, California. NPI 1053654269 is currently active in the NPPES registry. Verify at CMS.

Student (Health Education/Training) · VILLA PARK, CA

Registration Details

NPI Number
1053654269
Provider Type
Individual
Gender
Female
NPI Issued
Apr 5, 2013 (13.332166450114 yrs)
Last Updated
Oct 29, 2014
Sole Proprietor
Yes

Practice Information

Address
9461 FEATHERHILL DR
VILLA PARK, CA, 928612613
Browse CA providers · Browse ZIP 92861
Phone
8052526828
Primary Specialty
Student (Health Education/Training)
390200000X

Other Student (Health Education/Training) Providers in VILLA PARK, CA

Name Credential NPI
JONATHAN RICKMEYER 1689489221
JULES THU HOANG 1598643306
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.