Individual provider · Type 1 NPI

Heidi Fuller

Point of Service · Louisville, KY

NPI number 1730713173 Active

Practice location

12121 Shelbyville Rd Ste 101
Louisville, KY 40243-1094

Specialties and licenses

TaxonomyCodeLicense
Point of Service Primary 305S00000XNone listed

Point of Service: This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.

About NPI 1730713173

Heidi Fuller's National Provider Identifier is 1730713173, issued on Feb 25, 2020. The primary taxonomy on file is Point of Service (305S00000X), and the practice location is in Louisville, KY. The record was last updated on Feb 25, 2020.