Individual provider · Type 1 NPI

Gabe Fuller

Military Health Care Provider · Kansas City, MO

NPI number 1780956086 Active

Practice location

4801 E Linwood Blvd
Kansas City, MO 64128-2226

Call (816) 861-4700 Map

Specialties and licenses

TaxonomyCodeLicense
Military Health Care Provider Primary 171000000XT-03158 (KS)

Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

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About NPI 1780956086

Gabe Fuller's National Provider Identifier is 1780956086, issued on Feb 1, 2012. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Kansas City, MO. The record was last updated on Feb 1, 2012.