Fullin, Kerianne
Fullin, Kerianne is an individual health care provider with primary practice located at 2900 Bradford St Ne , Grand Rapids MI 49525. She recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Cardiology, which is considered as her primary health care specialty. Fullin, Kerianne can be contacted via phone (616) 885-5000.Contact Information
Primary practice address
2900 Bradford St Ne
Grand Rapids MI 49525
Phone: (616) 885-5000
Fax: (616) 885-5020
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 4301511930 | Michigan |
Profile Details
| NPI number | 1467949362 |
|---|---|
| LBN Legal business name | Fullin, Kerianne |
| Credentials | MD/MPH |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 16th, 2018 |
| Last updated | Jul 14th, 2024 - about 2 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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