Kayla Fuller (NPI# 1558765214, PAC ID# 6608199088) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1558765214 |
| PAC ID by PECOS | 6608199088 |
| Professional Enrollment ID | I20141217000437 |
| Full Name | Kayla Fuller |
| Organization Legal Name | KODIAK AREA NATIVE ASSOCIATION |
| Address |
3449 E Rezanof Dr Kodiak AK 99615-6952 |
| Phone Number | 9074869800 |
| Gender | F |
| Graduation Year | 2013 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 8426959297 |
| Number of Group Practice Members | 16 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 021306 | PROVIDENCE KODIAK ISLAND MEDICAL CTR |
| 020026 | ALASKA NATIVE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3449 E Rezanof Dr, Kodiak, AK 99615-6952 | 9074869800 | KODIAK AREA NATIVE ASSOCIATION |
| Organization Legal Name | KODIAK AREA NATIVE ASSOCIATION |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alison Marie Starr | Physician Assistant | Kodiak Area Native Association | 3449 E Rezanof Dr, Kodiak, AK 99615-6952 |
| Angela Christiansen | Clinical Social Worker | Kodiak Area Native Association | 3449 E Rezanof Dr, Kodiak, AK 99615-6952 |
| Sam J Chelmo | Family Medicine | Kodiak Area Native Association | 3449 E Rezanof Dr, Kodiak, AK 99615-6952 |
| Evan Jones | Family Medicine | Kodiak Area Native Association | 3449 E Rezanof Dr, Kodiak, AK 99615-6952 |
| Heidi Baines | Family Medicine | Kodiak Area Native Association | 3449 E Rezanof Dr, Kodiak, AK 99615-6952 |
| Stephanie Jenkins | Registered Dietitian Or Nutrition Professional | Kodiak Area Native Association | 3449 E Rezanof Dr, Kodiak, AK 99615-6952 |
| Angela Marie Kuiper Santiago | Nurse Practitioner | Kodiak Area Native Association | 3449 E Rezanof Dr, Kodiak, AK 99615-6952 |
| Elise M Pletnikoff | Family Medicine | Kodiak Area Native Association | 3449 E Rezanof Dr, Kodiak, AK 99615-6952 |
| Karen Lee Kincheloe Millstein | Physician Assistant | Kodiak Area Native Association | 3449 E Rezanof Dr, Kodiak, AK 99615-6952 |
| Kaitlyn Louise Smith | Physical Therapy | Kodiak Area Native Association | 3449 E Rezanof Dr, Kodiak, AK 99615-6952 |
| Street Address |
3449 E REZANOF DR |
| City | KODIAK |
| State | AK |
| Zip | 99615-6952 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alison Marie Starr | Physician Assistant | Kodiak Area Native Association | 3449 E Rezanof Dr, Kodiak, AK 99615-6952 |
| Angela Christiansen | Clinical Social Worker | Kodiak Area Native Association | 3449 E Rezanof Dr, Kodiak, AK 99615-6952 |
| Sam J Chelmo | Family Medicine | Kodiak Area Native Association | 3449 E Rezanof Dr, Kodiak, AK 99615-6952 |
| Evan Jones | Family Medicine | Kodiak Area Native Association | 3449 E Rezanof Dr, Kodiak, AK 99615-6952 |
| Heidi Baines | Family Medicine | Kodiak Area Native Association | 3449 E Rezanof Dr, Kodiak, AK 99615-6952 |
| Stephanie Jenkins | Registered Dietitian Or Nutrition Professional | Kodiak Area Native Association | 3449 E Rezanof Dr, Kodiak, AK 99615-6952 |
| Angela Marie Kuiper Santiago | Nurse Practitioner | Kodiak Area Native Association | 3449 E Rezanof Dr, Kodiak, AK 99615-6952 |
| Elise M Pletnikoff | Family Medicine | Kodiak Area Native Association | 3449 E Rezanof Dr, Kodiak, AK 99615-6952 |
| Karen Lee Kincheloe Millstein | Physician Assistant | Kodiak Area Native Association | 3449 E Rezanof Dr, Kodiak, AK 99615-6952 |
| Kaitlyn Louise Smith | Physical Therapy | Kodiak Area Native Association | 3449 E Rezanof Dr, Kodiak, AK 99615-6952 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jerimiah L Myers | Optometry | 214 W Rezanof Dr, Suite 1, Kodiak, AK 99615-6044 | |
| Kevin Creelman | General Practice | 104 Ctr Ave, Suite 100, Kodiak, AK 99615-6393 | |
| John M Weaver | Clinical Social Worker | Providence Health and Services Washington | 717 E Rezanof Dr, Kodiak, AK 99615-6416 |
| Welby N Jensen | Psychiatry | Providence Health and Services Washington | 717 E Rezanof Dr, Kodiak, AK 99615-6416 |
| Rae Jean Blaschka | Nurse Practitioner | Kodiak Island Medical Associates | 1818 E Rezanof Dr, Kodiak, AK 99615-6505 |
| Mark E Withrow | General Practice | Kodiak Island Medical Associates | 1818 E Rezanof Dr, Kodiak, AK 99615-6505 |
| Carol L Juergens | Internal Medicine | Kodiak Island Medical Associates | 1818 E Rezanof Dr, Kodiak, AK 99615-6505 |
| Laura M Creighton | Chiropractic | 814 E Rezanof Dr, Kodiak, AK 99615-6599 | |
| Janet Abadir | General Surgery | Providence Health and Services Washington | 1915 E Rezanof Dr, Kodiak, AK 99615-6602 |
| Melissa K Witteveen | Physician Assistant | Kodiak Island Healthcare Foundation | 1911 E Rezanof Dr, Kodiak, AK 99615-6602 |
| Find all physicians in zip 99615 | |||
| City | KODIAK |
| Zip Code | 99615 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | KODIAK + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Kayla Fuller.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.