COY FULLEN DO NPI 1902967243

NPI Information

  • NPI: 1902967243
  • Provider Name: COY FULLEN, DO
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • Address: 427 N 12TH ST
    PLUMMER, ID
    ZIP 83851
  • Phone: (208) 686-1931

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NPI Details

Coy Fullen, DO is a family medicine in Plummer, ID. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Coy Fullen, DO NPI is 1902967243. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

427 N 12TH ST
PLUMMER, ID
ZIP 83851
Phone: (208) 686-1931
Fax: (208) 686-5133

The enumeration date for this NPI number is 12/12/2006 and was last updated on 5/16/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineBF4836978WASHINGTONNo
2207Q00000XFamily MedicineO-0589IDAHOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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