Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KEVIN S FULLER, PA-C
ActiveMR. KEVIN S FULLER, PA-C is a Physician Assistant healthcare provider located in FAIRFAX, Virginia. NPI 1417119652 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · FAIRFAX, VA
Registration Details
- NPI Number
- 1417119652
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 30, 2008 (18.112231575428 yrs)
- Last Updated
- Apr 21, 2021
- License
-
0110001208 (VA)
Practice Information
- Address
-
13135 LEE JACKSON MEMORIAL HWY STE 305FAIRFAX, VA, 220331907Browse VA providers · Browse ZIP 22033
- Phone
- 7033598640
- Fax
- 7035916105
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in FAIRFAX, VA
| Name | Credential | NPI |
|---|---|---|
| DAMON J LICARI | PA | 1962495069 |
| MRS. JULIE B CROCKER | PA | 1346235843 |
| SORAYA YUNUS | P.A. | 1285620567 |
| MR. PAUL DAVID FALKENSTEIN | PAC | 1558337048 |
| STEPHANIE ANNE SHEPARD | PA | 1396705174 |
| MAGGIE LYNN IPSARO | PA-C | 1376509109 |
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.