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

Kerianne Fullin, MD/MPH

Individual provider Interventional Cardiology Physician · NPI 1467949362

Kerianne Fullin, MD/MPH is an Interventional Cardiology in Grand Rapids, Michigan. Graduated from University of Wisconsin School of Medicine in 2018, 8 years ago. Practices with Froedtert South Inc, a 156-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
8
Trained at
University of Wisconsin School of Medicine
Licensed in
MI
In the registry since
2018
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Practice location Address checks out

2900 Bradford St NE
Grand Rapids, MI 49525
Phone: (616) 885-5000
Fax: (616) 885-5020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Cardiology Physician (primary) Taxonomy 207RI0011X · Licence 4301511930 (MI)

Record details

NPI number1467949362
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD/MPH
Sole proprietorNo
NPI enumeratedApril 16, 2018
Last updated in NPPESJuly 14, 2024
Certification dateJuly 14, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERVENTIONAL CARDIOLOGY
Medical schoolUNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Froedtert South Inc — 156 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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