DR. Keith Lyle Fuller, D.O.

NPI #1730125527 in Opelika, Alabama

Provider Information

NPI Number
1730125527
Entity Type
Individual
Name
DR. Keith Lyle Fuller, D.O.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Family Medicine
Credential
D.O.
Enumeration Date
Jun 21, 2006
Last Updated
Mar 7, 2023

Practice Location

Address
2214 GATEWAY DR
Address 2
SUITE C
State
Alabama
ZIP Code
36801-1500
Phone
(334) 741-0075

Specialties & Taxonomy Codes

Specialty
Family Medicine

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