Individual provider · Type 1 NPI

Kevin S. Fuller, PA-C

Physician Assistant · Fairfax, VA

NPI number 1417119652 Active

Practice location

13135 Lee Jackson Memorial Hwy Ste 305
Fairfax, VA 22033-1907

Call (703) 359-8640 Map

Fax (703) 591-6105

Mailing address

PO Box 37174
Baltimore, MD 21297-3174

Other practice locations

  • 3620 Joseph Siewick Dr, Suite 406, Fairfax, VA 22033-1756 · (703) 359-8640

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X0110001208 (VA)

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 1417119652

Kevin S. Fuller, PA-C's National Provider Identifier is 1417119652, issued on Jun 30, 2008. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Fairfax, VA. The record was last updated on Apr 21, 2021.