Individual provider · Type 1 NPI

Emily N. Fuller, PA-C

Physician Assistant · Kettering, OH

NPI number 1194354506 Active

Practice location

3533 Southern Blvd Ste 5650
Kettering, OH 45429-1263

Fax (937) 294-9010

Mailing address

1500 SW 10th Ave
Topeka, KS 66604-1301

Other practice locations

  • 1500 SW 10th Ave, Topeka, KS 66604-1301 · (785) 354-6000
  • 425 W Grand Ave Ste 2002, Dayton, OH 45405-4722 · (379) 294-3611

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Physician Assistant Primary 363A00000X15-02470 (KS)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1194354506

Emily N. Fuller, PA-C's National Provider Identifier is 1194354506, issued on Apr 7, 2020. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Kettering, OH. The record was last updated on Jul 7, 2026.