Fuller, Kevonda
Fuller, Kevonda is an sole proprietor health care provider with primary practice located at 13707 Fairhill Ave , Edmond OK 73013-1946. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Fuller, Kevonda can be contacted via phone (405) 607-4041.Contact Information
Primary practice address
13707 Fairhill Ave
Edmond OK 73013-1946
Phone: (405) 607-4041
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Peer Specialist | 175T00000X |
Profile Details
| NPI number | 1952966699 |
|---|---|
| LBN Legal business name | Fuller, Kevonda |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 8th, 2019 |
| Last updated | May 8th, 2019 - about 7 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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