Fuller, Carol Kay

Fuller, Carol Kay is an individual health care provider with primary practice located at 925 Chestnut Street , Kenova WV 25530. She recently has only one registered license in Nursing Service Related Providers / Personal Care Attendant, which is considered as her primary health care specialty. Fuller, Carol Kay can be contacted via phone (304) 453-4296.

Contact Information

Primary practice address
925 Chestnut Street Kenova WV 25530
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Personal Care Attendant 3747P1801X

Profile Details

NPI number 1417462896
LBN Legal business name Fuller, Carol Kay
Credentials PCA
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2017
Last updated Dec 7th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417462896 NPPES
Other 0033631000 PROVIDER ID

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