Kevonda Fuller
Kevonda Fuller is a Peer Specialist in Edmond, Oklahoma. Practices as a sole proprietor. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
13707 Fairhill AveEdmond, OK 73013-1946
Phone: (405) 607-4041
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X |
|---|
Record details
| NPI number | 1952966699 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | May 8, 2019 |
| Last updated in NPPES | May 8, 2019 |
| Mailing address | 13707 Fairhill Ave, Edmond, OK 73013-1946 |
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