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

Shane R Fullerton

Individual provider Counselor · NPI 1063862852

Shane R Fullerton is a Counselor in Kailua Kona, Hawaii. Registered with an NPI since 2016.

In the registry since
2016

Practice location Address checks out

75-5699 Alii Dr Ste E
Kailua Kona, HI 96740-3112
Phone: (443) 226-4939
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1063862852
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 13, 2016
Last updated in NPPESJune 14, 2016

Other providers in Kailua Kona