NPI 1013577667

Michael Fuller, LPN

Practitioner Licensed Practical Nurse Mayfield, KY

Practice location

Address: 1539 Cuba Rd, Mayfield, KY 42066-6809
Phone: (270) 251-2924
Mailing address: 425 Broadway St STE 201, Paducah, KY 42001-0713

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence LPN0000092565 (TN)

Other Licensed Practical Nurse providers in Kentucky →

Registry record

NPI: 1013577667
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Jun 2019
Record last updated: 17 Jun 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.