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Dr. Kelly Blaine Fullerton

Chiropractor Occupational Health

2110 S Coast Hwy Ste A
Oceanside , California 92054-6544

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Dr. Kelly Blaine Fullerton

Chiropractor Occupational Health

2110 S Coast Hwy Ste A
Oceanside , California 92054-6544

(760) 687-0017

Write a Review Save Call

Dr. Kelly Blaine Fullerton

Chiropractor Occupational Health

2110 S Coast Hwy Ste A
Oceanside , California 92054-6544

(760) 687-0017 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Chiropractor
  • Occupational Health

Languages spoken

  • English

Location

2110 S Coast Hwy Ste A Oceanside , California 92054-6544

First Address

  • Dr. Kelly Blaine Fullerton
  • 2110 S Coast Hwy Ste A
  • Oceanside, CA
  • Zip : 92054-6544
  • Fax : (760) 687-0017
  • Phone : (760) 720-0000

Second Address

  • Dr. Kelly Blaine Fullerton
  • 2110 S Coast Hwy Ste A
  • Oceanside, CA
  • Zip : 92054-6544
  • Fax : (760) 687-0017
  • Phone : (760) 720-0000

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FAQs


Where did Dr. Kelly Blaine Fullerton attend graduate school?

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Where did Dr. Kelly Blaine Fullerton do his residency?

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Where did Dr. Kelly Blaine Fullerton do his fellowship?

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Is Dr. Kelly Blaine Fullerton board certified?

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What type of doctor is Dr. Kelly Blaine Fullerton

Chiropractor

In what state does Dr. Kelly Blaine Fullerton practice in?

California

Where is Dr. Kelly Blaine Fullerton ’s practice located?

2110 S Coast Hwy Ste A , Oceanside, California, 92054-6544

What is Dr. Kelly Blaine Fullerton ’s gender?

Male

Is Dr. Kelly Blaine Fullerton a sole practitioner?

No

Is Dr. Kelly Blaine Fullerton accepting new patients?

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What languages does Dr. Kelly Blaine Fullerton speak?

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Does Dr. Kelly Blaine Fullerton accept insurance?

Yes, Dr. Kelly Blaine Fullerton accepts insurance

Does Dr. Kelly Blaine Fullerton offers telemedicine?

Dr. Kelly Blaine Fullerton has not indicated if he offers telemedicine

What is Dr. Kelly Blaine Fullerton ’s professional license number?

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What is Dr. Kelly Blaine Fullerton ’s NPI number?

1164802633

Does Dr. Kelly Blaine Fullerton have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 111N00000X Chiropractor 20978 CA
N 111NX0100X Occupational Health 20978 CA

National Provider Identifier

NPI 1164802633
Provider Name Dr. Kelly Blaine Fullerton
First Address Oceanside, CA 92054-6544
Second Address Oceanside, CA 92054-6544
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 01/06/2015
Last Update Date 01/06/2015

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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