Individual
KIMBERLY FUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
27 PARK ST, HYANNIS, MA 02601-5230
(508) 771-1800
Mailing address
105 EMBASSY CT, MACON, GA 31210-2167
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
20943
MA
Other
Enumeration date
12/26/2019
Last updated
12/26/2019
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