IndividualActive
Gabe Fuller
NPI 1780956086 · Military Health Care Provider · Kansas City, MO
Provider details
- NPI number
- 1780956086
- Entity type
- Individual
- Primary specialty
- Military Health Care ProviderOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- T-03158 (KS)
Specialties & taxonomies
Other Service Providers
Practice location
4801 E Linwood Blvd
Kansas City, MO 64128-2226
Phone: (816) 861-4700
Approximate (ZIP-level) locationGet directions
Mailing address
4801 E Linwood Blvd
Kansas City, MO 64128-2226
Registry dates
- Enumerated
- 2012-02-01
- Last updated
- 2012-02-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.