person
Dr. Kenneth Fuller, DO
Student in an Organized Health Care Education/Training Program in Rapid City, South Dakota
NPI 1285329706

Kenneth Fuller is a Student in an Organized Health Care Education/Training Program based in Rapid City, SD. Kenneth Fuller practices in Rapid City, SD and has the professional credentials of DO. The NPI Number for Kenneth Fuller is 1285329706 and holds a License No. (South Dakota).

The current practice location address for Kenneth Fuller is 502 E Monroe St, Rapid City, SD and can be reached out via phone at 605-755-4060 and via fax at 605-755-4012.

Location: 502 E Monroe St, Rapid City, SD, 57701-1400
person
Provider Profile Details
NPI Number
1285329706
Provider Name
Kenneth Fuller
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
502 E Monroe St, Rapid City, SD, 57701-1400
Phone Number
605-755-4060
Fax Number
605-755-4012
Provider Enumeration Date
04/10/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
502 E Monroe St
City
State
Zip
57701-1400
Phone Number
605-755-4060
Fax Number
605-755-4012
person
Provider Business Mailing Address Details
Address
502 E Monroe St
City
State
Zip
57701-1400
Phone Number
605-755-4060
Fax Number
605-755-4012
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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