Individual
DR. KALEB EVAN FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1200 CHILDRENS AVE, OKLAHOMA CITY, OK 73104-4637
(405) 271-4417
Mailing address
1200 CHILDRENS AVE, OKLAHOMA CITY, OK 73104-4637
(405) 271-4417
Taxonomy
Speciality
Code
Description
License number
State
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
7338
OK
Other
Enumeration date
06/01/2020
Last updated
10/04/2024
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