person
Gabe Fuller
Military Health Care Provider in Kansas City, Missouri
NPI 1780956086

Gabe Fuller is a Military Health Care Provider based in Kansas City, MO. Gabe Fuller practices in Kansas City, MO. The NPI Number for Gabe Fuller is 1780956086 and holds a License No. T-03158 (Missouri).

The current practice location address for Gabe Fuller is 4801 E Linwood Blvd, Kansas City, MO and can be reached out via phone at 816-861-4700. You can also correspond with Gabe Fuller through the mailing address at 4801 E LINWOOD BLVD, KANSAS CITY, MO - 64128-2226 (mailing address contact number: ).

Location: 4801 E Linwood Blvd, Kansas City, MO, 64128-2226
person
Provider Profile Details
NPI Number
1780956086
Provider Name
Gabe Fuller
Credential
Provider Entity Type
Individual
Gender
Male
Address
4801 E Linwood Blvd, Kansas City, MO, 64128-2226
Phone Number
816-861-4700
Fax Number
Provider Enumeration Date
02/01/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4801 E Linwood Blvd
City
State
Zip
64128-2226
Phone Number
816-861-4700
Fax Number
person
Provider Business Mailing Address Details
Address
4801 E Linwood Blvd
City
State
Zip
64128-2226
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
License No.
T-03158 (Kansas)
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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