Kimberly Fuller in Vicksburg - Emergency Medicine

Kimberly Fuller - NPI 1083860324

Kimberly Fuller is a Emergency Medicine in Vicksburg, Mississippi. Kimberly Fuller practices all healthcare services and medical treatments related to Emergency Medicine. The NPI Number for Kimberly Fuller is 1083860324. The last update date is 2009-03-16.

Kimberly Fuller's current location address is 2100 Highway 61 N, Vicksburg, Mississippi. You can contact this provider via phone number 6018835000. The mailing address for Kimberly Fuller is 2100 Highway 61 N, Vicksburg, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Name Kimberly Fuller
Address 2100 Highway 61 N, Vicksburg, Mississippi
Phone Number 6018835000
Fax Number
Sole Proprietor N
Credentials MSN, ACNP

NPI Number Detail

NPI Number 1083860324
Provider Enumeration Date 2008-08-18
Last Updated Date 2009-03-16

Provider Mailing Address Detail

Address 2100 Highway 61 N
City Vicksburg
State Mississippi (MS)
Post Code 391838211
Phone Number 6018835000
Fax Number

Provider's Primary Taxonomy Detail

Speciality Emergency Medicine
Taxonomy 207P00000X
Licence No R853474
Definition:
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
7281200 MS --
1347574 LA --

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FAQs about Kimberly Fuller

What is the unique 10-digit identifier code issued to Kimberly Fuller by the Centers for Medicare & Medicaid Services?

The Kimberly Fuller has been assigned the NPI (National Provider Identifier) 1083860324 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Where is the Kimberly Fuller located?

The Kimberly Fuller is located at 2100 Highway 61 N, Vicksburg, MS 391838211.

What is Kimberly Fuller's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Kimberly Fuller is Emergency Medicine, and the taxonomy code that categorizes this field of expertise is 207P00000X.

On what date was the 1083860324 assigned to Kimberly Fuller?

The Kimberly Fuller was issued its 1083860324 on 2008-08-18, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to Kimberly Fuller most recently updated or refreshed?

The details pertaining to the Kimberly Fuller, including its address, specialty, and other relevant information, were last updated or refreshed on 2009-03-16.

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