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DR. ELZER T. FULLER JR. M.D.
NPI 1013961986
General Practice in London, KY

Active since May 22, 2006
969 LAUREL COVE RD, LONDON, KY 40741(606) 843-2548(859) 873-0115 Get Directions Write a Review

NPPES record last updated: January 13, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Elzer T. Fuller Jr. M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ELZER T. FULLER JR. M.D. (NPI 1013961986) is an individual general practice provider in London, Kentucky, licensed in Kentucky (19010) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1013961986
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. ELZER T. FULLER JR.Credential: M.D.
Location Address969 LAUREL COVE RDLondon, KY 40741-9024
Mailing Address969 Laurel Cove RdLondon, KY 40741-9024 · (606) 843-2548 · Fax (859) 873-0115
Phone(606) 843-2548
Fax(859) 873-0115
Sole ProprietorNo
Enumeration DateMay 22, 2006
Last NPPES UpdateJanuary 13, 2014
✔ NPI 1013961986 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in KY · 19010
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedEmergency MedicineTaxonomy 207P00000X · License ME58598 (FL), 19010 (KY)
969 LAUREL COVE RD, London, KY 40741
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Other Identifiers 1

Medicare UPINC71904

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elzer Fuller's NPI number?

The NPI number for Elzer Fuller is 1013961986. It was assigned to this individual provider in the NPPES registry on May 22, 2006.

Where is Elzer Fuller located?

Elzer Fuller practices at 969 Laurel Cove Rd, London, KY 40741. The listed phone number is (606) 843-2548.

What is Elzer Fuller's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Elzer Fuller was last updated on January 13, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.