Doctor Name: | MRS. KIMBERLY FULLER |
NPI Number: | 1083860324 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSN, ACNP - BS |
License Number: | R853474 |
Business Practice Address: | 2100 Highway 61 N Vicksburg, MS - 391838211 |
Business Phone Number: | 6018835000 |
Business Fax Number: | |
Mailing Address: | 2100 Highway 61 N, VICKSBURG |
State: | MS |
Postal Code: | 391838211 |
Phone Number: | 6018835000 |
Fax Number: | |
NPI Enumeration Date: | 08/18/2008 |
NPI Last Update Date: | 03/16/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207P00000X |
License Number: | R853474 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MS |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Emergency Medicine |
Taxonomy Specialization: | |
Taxonomy Definition: | An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |