Search › West Virginia › 171M00000X

Kelly Fuller

NPI 1598609414 · on the registry since 2026

Practice

Address
4498 Potomac Highlands Trl
Green Bank, WV 24944
Phone
(304) 456-5115
Fax
(855) 435-1142

Registry record

Primary taxonomy
171M00000X
171M00000X
Licence states on file
WV
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-04-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in West Virginia