Individual provider · Type 1 NPI

Kim Kevin Fuller, DC

Sports Physician Chiropractor · Chesapeake, VA

NPI number 1063421147 Active

Practice location

106 Wimbledon Sq
Chesapeake, VA 23320-4931

Fax (757) 547-4031

Mailing address

449 Broad Bend Cir
Chesapeake, VA 23320-9292

Specialties and licenses

TaxonomyCodeLicense
Sports Physician Chiropractor Primary 111NS0005X0104000403 (VA)

Sports Physician Chiropractor: A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training …

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About NPI 1063421147

Kim Kevin Fuller, DC's National Provider Identifier is 1063421147, issued on Aug 6, 2006. The primary taxonomy on file is Sports Physician Chiropractor (111NS0005X), and the practice location is in Chesapeake, VA. The record was last updated on Nov 21, 2012.