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

HEIDI FULLER

Active Sole Proprietor

HEIDI FULLER is a Point of Service healthcare provider located in LOUISVILLE, Kentucky. NPI 1730713173 is currently active in the NPPES registry. Verify at CMS.

Point of Service · LOUISVILLE, KY

Registration Details

NPI Number
1730713173
Provider Type
Individual
Gender
Female
NPI Issued
Feb 25, 2020 (6.498074817431 yrs)
Last Updated
Feb 25, 2020
Sole Proprietor
Yes

Practice Information

Address
12121 SHELBYVILLE RD STE 101
LOUISVILLE, KY, 402431094
Browse KY providers · Browse ZIP 40243
Phone
5023411599
Primary Specialty
Point of Service
305S00000X
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.