KEVONDA FULLER NPI 1952966699

NPI Information

Kevonda Fuller is a peer specialist in Edmond, OK. The provider is individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. Kevonda Fuller NPI is 1952966699. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

13707 FAIRHILL AVE
EDMOND, OK
ZIP 73013-946
Phone: (405) 607-4041

The enumeration date for this NPI number is 5/8/2019 and was last updated on 5/8/2019.

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:

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