Individual
KATHRYN ELISABETH FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3610 PETERS CT, HIGH POINT, NC 27265-9004
(336) 883-0029
(336) 883-0867
Mailing address
645 N MAIN ST, HIGH POINT, NC 27260-5017
(336) 883-0029
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
5019945
NC
363L00000X
Nurse Practitioner
Primary
5019945
NC
Other
Enumeration date
05/14/2022
Last updated
07/19/2024
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