Kristin L Fuller, PA-C

NPI #1487958625 in Ashburn, Virginia

Provider Information

NPI Number: 1487958625
Entity Type: Individual
Name: Kristin L Fuller, PA-C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jan 3, 2011
Last Updated: Sep 4, 2013

Practice Location

Address: 20905 PROFESSIONAL PLAZA
Address 2: SUITE 330
City: Ashburn
State: Virginia
ZIP Code: 20147
Phone: (703) 726-0003

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant - Medical — Medical	363AM0700X
Physician Assistant	363A00000X	Primary

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