Individual
KAREN R FULLWOOD
Active
Individual
KAREN R FULLWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HIS
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
02431
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
421CCL
CAREFIRST BC/BS
MD
Enumeration date
02/21/2007
Last updated
10/09/2019
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