Whalio Doctors

NPI 1780956086

Gabe Fuller

Practitioner Military Health Care Provider Kansas City, MO

Practice location

Address
4801 E Linwood Blvd, Kansas City, MO 64128-2226
Phone
(816) 861-4700

Registered specialties

Military Health Care Provider Primary
Other Service Providers Taxonomy 171000000X Licence T-03158 (KS)

Registry record

NPI
1780956086
Entity type
Individual
Sex (as registered)
Male
NPI issued
1 Feb 2012
Record last updated
1 Feb 2012

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.