IndividualActive
Kaleb Fuller, DO
NPI 1568086965 · Pediatric Emergency Medicine (Pediatrics) Physician · Oklahoma City, OK
Provider details
- NPI number
- 1568086965
- Entity type
- Individual
- Primary specialty
- Pediatric Emergency Medicine (Pediatrics) PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 7338 (OK)
Practice location
1200 Childrens Ave
Oklahoma City, OK 73104-4637
Phone: (405) 271-4417
Mailing address
1200 Childrens Ave
Oklahoma City, OK 73104-4637
Registry dates
- Enumerated
- 2020-06-01
- Last updated
- 2024-10-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.