Kevin J Fullin in Kenosha - Interventional Cardiology

Kevin J Fullin - NPI 1346224532

Kevin J Fullin is a Interventional Cardiology in Kenosha, Wisconsin. Kevin J Fullin practices all healthcare services and medical treatments related to Interventional Cardiology. The NPI Number for Kevin J Fullin is 1346224532. The last update date is 2014-08-07.

Kevin J Fullin's current location address is 6308 8th Ave, Kenosha, Wisconsin. You can contact this provider via phone number 2626563650 and fax number 2626563671. The mailing address for Kevin J Fullin is 6308 8th Ave, Kenosha, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Kevin J Fullin
Address 6308 8th Ave, Kenosha, Wisconsin
Phone Number 2626563650
Fax Number 2626563671
Sole Proprietor N
Credentials MD FACC

NPI Number Detail

NPI Number 1346224532
Provider Enumeration Date 2005-12-01
Last Updated Date 2014-08-07

Provider Mailing Address Detail

Address 6308 8th Ave
City Kenosha
State Wisconsin (WI)
Post Code 531435082
Phone Number 2626563650
Fax Number 2626563671

Provider's Primary Taxonomy Detail

Speciality Interventional Cardiology
Taxonomy 207Ri0011X
Licence No 27973
Definition:
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medicat

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
30742900 WI --
1346224532 WI --

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FAQs about Kevin J Fullin

What is the Kevin J Fullin's 1346224532?

The Kevin J Fullin's NPI (National Provider Identifier) Number is 1346224532. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Kevin J Fullin is located?

The Kevin J Fullin is situated at the following address: 6308 8Th Ave, Kenosha, WI, 531435082.

What is Kevin J Fullin's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Kevin J Fullin is Interventional Cardiology, and the corresponding taxonomy classification code for this specialized field is 207Ri0011X.

On what date did the Kevin J Fullin receive its 1346224532 assignment from the Centers for Medicare & Medicaid Services?

The Kevin J Fullin was assigned its 1346224532 by the Centers for Medicare & Medicaid Services on 2005-12-01.

As of what date were the details pertaining to Kevin J Fullin last refreshed?

The information related to the Kevin J Fullin, including its address, specialty, and other relevant details, was last updated on 2014-08-07.

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