Individual provider · Type 1 NPI

Kort Fuller

Student in an Organized Health Care Education/Training Program · Salt Lake City, UT

NPI number 1831997410 Active

Practice location

530 S Wakara Way
Salt Lake City, UT 84108-1213

Call (801) 587-6453 Map

Mailing address

280 E 200 N
Wellsville, UT 84339-9794

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1831997410

Kort Fuller's National Provider Identifier is 1831997410, issued on Mar 7, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Salt Lake City, UT. The record was last updated on Mar 7, 2025.