DR. Kelly Blaine Fullerton, D.C.

NPI #1164802633 in Oceanside, California

Provider Information

NPI Number
1164802633
Entity Type
Individual
Name
DR. Kelly Blaine Fullerton, D.C.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Chiropractor
Credential
D.C.
Enumeration Date
Jun 1, 2015
Last Updated
Jun 1, 2015

Practice Location

Address
2110 S COAST HWY STE A
ZIP Code
92054-6544
Phone
(760) 720-0000

Specialties & Taxonomy Codes

Specialty
Chiropractor
Chiropractor - Occupational HealthOccupational Health

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