Individual
EMILY N FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3533 SOUTHERN BLVD STE 5650, KETTERING, OH 45429-1263
(937) 294-3611
(937) 294-9010
Mailing address
1500 SW 10TH AVE, TOPEKA, KS 66604-1301
(785) 354-6000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-02470
KS
363A00000X
Physician Assistant
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
KY
Other
Enumeration date
04/07/2020
Last updated
07/09/2025
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