Individual provider · Type 1 NPI

Kimberly Fusselman, PA-C

Physician Assistant · Santa Fe, NM

NPI number 1669270310 Active

Practice location

490A W Zia Rd
Santa Fe, NM 87505-6996

Mailing address

2317 Dietz Farm Rd NW
Albuquerque, NM 87107-3117

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA2025-0024 (NM)

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 1669270310

Kimberly Fusselman, PA-C's National Provider Identifier is 1669270310, issued on Mar 6, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Santa Fe, NM. The record was last updated on Mar 6, 2025.