IndividualActive
Heidi Fuller
NPI 1730713173 · Point of Service · Louisville, KY
Provider details
- NPI number
- 1730713173
- Entity type
- Individual
- Primary specialty
- Point of ServiceManaged Care Organizations
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Managed Care Organizations
Practice location
12121 Shelbyville Rd Ste 101
Louisville, KY 40243-1094
Phone: (502) 341-1599
Approximate (ZIP-level) locationGet directions
Mailing address
12121 Shelbyville Rd Ste 101
Louisville, KY 40243-1094
Registry dates
- Enumerated
- 2020-02-25
- Last updated
- 2020-02-25
- Certified
- 2020-02-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.