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

MR. GAVEN M FULTS

Active Sole Proprietor

MR. GAVEN M FULTS is a Orthotic Fitter healthcare provider located in OMAHA, Nebraska. NPI 1376882126 is currently active in the NPPES registry. Verify at CMS.

Orthotic Fitter · OMAHA, NE

Registration Details

NPI Number
1376882126
Provider Type
Individual
Gender
Male
NPI Issued
Feb 13, 2013 (13.528767047959 yrs)
Last Updated
Feb 13, 2013
Sole Proprietor
Yes

Practice Information

Address
14708 KANSAS AVE
OMAHA, NE, 681164514
Browse NE providers · Browse ZIP 68116
Phone
4023090523
Primary Specialty
Orthotic Fitter
242T00000X

Other Orthotic Fitter Providers in OMAHA, NE

Name Credential NPI
RYAN ZAVALA 1386487619
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.