KEVIN J FULLIN

KENOSHA, WI
NPI1346224532
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: WI  27973)
Additional Taxonomies207RI0011X Internal Medicine, Interventional Cardiology
(Licence: WI  27973)
Enumeration Date2005-12-01
Last Update Date2014-08-07
Business Address
Dr. KEVIN J FULLIN MD FACC
6308 8TH AVE SUITE 3060
KENOSHA, WI 53143-5082
Phone number: 262-656-3650
Mailing Address
Dr. KEVIN J FULLIN MD FACC
6308 8TH AVE SUITE 3060
KENOSHA, WI 53143-5082
Phone number: 262-656-3650