Individual
KAILYN ELISE FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2011 BROADWAY ST STE 130, PEARLAND, TX 77581-5945
(281) 997-8509
Mailing address
1287 BLUE TRACTOR DR APT 1110, ALLEN, TX 75013-1223
(318) 364-6323
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
43490
TX
Other
Enumeration date
07/24/2025
Last updated
07/24/2025
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