IndividualActive
Kim Fuller, D.C.
NPI 1063421147 · Sports Physician Chiropractor · Chesapeake, VA
Provider details
- NPI number
- 1063421147
- Entity type
- Individual
- Primary specialty
- Sports Physician ChiropractorChiropractic Providers
- Credential
- D.C.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 0104000403 (VA)
Specialties & taxonomies
Chiropractic Providers
Practice location
106 Wimbledon Sq
Chesapeake, VA 23320-4931
Phone: (757) 436-1037
Fax: (757) 547-4031
Approximate (ZIP-level) locationGet directions
Mailing address
449 Broad Bend Cir
Chesapeake, VA 23320-9292
Registry dates
- Enumerated
- 2006-08-06
- Last updated
- 2012-11-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.