Individual provider · Type 1 NPI

Kelly Blaine Fullerton, DC

Chiropractor · Oceanside, CA

NPI number 1164802633 Active

Practice location

2110 S Coast Hwy Ste A
Oceanside, CA 92054-6544

Call (760) 720-0000 Map

Fax (760) 687-0017

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X20978 (CA)
Occupational Health Chiropractor 111NX0100X20978 (CA)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1164802633

Kelly Blaine Fullerton, DC's National Provider Identifier is 1164802633, issued on Jun 1, 2015. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Oceanside, CA. The record was last updated on Jun 1, 2015.