Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KEVIN J FULLIN, MD FACC
ActiveCardiovascular Disease · KENOSHA, WI
Registration Details
- NPI Number
- 1346224532
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 1, 2005 (20.387085998722 yrs)
- Last Updated
- Aug 7, 2014
- Licenses
-
27973 (WI)27973 (WI)
Practice Information
- Address
-
6308 8TH AVESUITE 3060KENOSHA, WI, 531435082Browse WI providers · Browse ZIP 53143
- Phone
- 2626563650
- Fax
- 2626563671
- Primary Specialty
-
Cardiovascular Disease
207RC0000X
- Additional Specialty
- Hospice and Palliative Medicine
Other Cardiovascular Disease Providers in KENOSHA, WI
| Name | Credential | NPI |
|---|---|---|
| DR. ANTHONY G LOCURTO | — | 1821098773 |
| DR. MICHAEL C KREAGER | MD FACC | 1609850791 |
| DR. RAMANUJA R MANDA | MD FACC FCCP | 1407830698 |
| DR. KATHERINE M ABBO | MD FACC | 1962488965 |
| TIMOTHY A. SANBORN | M.D. | 1073600987 |
| ANNA CK SILENZI | DO | 1639365661 |
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.