Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Kaleb Evan Fuller, DO

Individual provider Pediatric Emergency Medicine (Pediatrics) Physician · NPI 1568086965

Dr. Kaleb Evan Fuller, DO is a Pediatric Emergency Medicine (Pediatrics) Physician in Oklahoma City, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2020.

Licensed in
OK
In the registry since
2020
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1200 Childrens Ave
Oklahoma City, OK 73104-4637
Phone: (405) 271-4417
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Emergency Medicine (Pediatrics) Physician (primary) Taxonomy 2080P0204X · Licence 7338 (OK)

Record details

NPI number1568086965
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 1, 2020
Last updated in NPPESOctober 4, 2024
Certification dateOctober 4, 2024

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