KENNETH FULLER

HUNTINGTON, WV
NPI1831775121
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2021-03-18
Last Update Date2021-03-18
Business Address
KENNETH FULLER
3588 NICKEL PLATE RD
HUNTINGTON, WV 25702-2158
Phone number: 304-417-8080
Mailing Address
KENNETH FULLER
3588 NICKEL PLATE RD
HUNTINGTON, WV 25702-2158
Phone number: 304-417-8080