KIM KEVIN FULLER

CHESAPEAKE, VA
NPI1063421147
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy111NS0005X Chiropractor, Sports Physician
(Licence: VA  0104000403)
Enumeration Date2006-08-06
Last Update Date2012-11-21
Business Address
Dr. KIM KEVIN FULLER D.C.
106 WIMBLEDON SQ
CHESAPEAKE, VA 23320-4931
Phone number: 757-436-1037
Mailing Address
Dr. KIM KEVIN FULLER D.C.
449 BROAD BEND CIR
CHESAPEAKE, VA 23320-9292
Phone number: 757-436-3473