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

Dr. Kim Kevin Fuller, DC

Individual provider Sports Physician Chiropractor · NPI 1063421147

Dr. Kim Kevin Fuller, DC is a Sports Physician Chiropractor in Chesapeake, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2006
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

106 Wimbledon Sq
Chesapeake, VA 23320-4931
Phone: (757) 436-1037
Fax: (757) 547-4031
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Physician Chiropractor (primary) Taxonomy 111NS0005X · Licence 0104000403 (VA)

Record details

NPI number1063421147
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorYes
NPI enumeratedAugust 6, 2006
Last updated in NPPESNovember 21, 2012

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