NPI 1235706870

Brian Fulton

Practitioner Military Health Care Provider Jbphh, HI

Practice location

Address: 1253 Makalapa Gate Rd Bldg 1407, Jbphh, HI 96860-4479
Phone: (808) 387-5649
Mailing address: 2025 Ulupau Loop, Kailua, HI 96734-4761

Registered specialties (2)

Military Health Care Provider Primary

Other Service Providers Taxonomy 171000000X

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Paramedic

Emergency Medical Service Providers Taxonomy 146L00000X Licence 11147854BF (NC)

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Registry record

NPI: 1235706870
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Jun 2021
Record last updated: 11 Jun 2021

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.