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DR. KIM KEVIN FULLER D.C.
NPI 1063421147
Chiropractor - Sports Physician in Chesapeake, VA

Active since August 06, 2006
106 WIMBLEDON SQ, CHESAPEAKE, VA 23320(757) 436-1037(757) 547-4031 Get Directions Write a Review

NPPES record last updated: November 21, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kim Kevin Fuller D.c. NPPES

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

DR. KIM KEVIN FULLER D.C. (NPI 1063421147) is an individual sports physician in Chesapeake, Virginia, licensed in Virginia (0104000403) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1063421147
Entity TypeIndividualMale
Primary Taxonomy111NS0005X
Provider Legal NameDR. KIM KEVIN FULLERCredential: D.C.
Location Address106 WIMBLEDON SQChesapeake, VA 23320-4931
Mailing Address449 Broad Bend CirChesapeake, VA 23320-9292 · (757) 436-3473
Phone(757) 436-1037
Fax(757) 547-4031
Sole ProprietorYes
Enumeration DateAugust 6, 2006
Last NPPES UpdateNovember 21, 2012
✔ NPI 1063421147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractor · Sports PhysicianChiropractic Providers
Taxonomy Code111NS0005X
License✔ Licensed in VA · 0104000403
Definition
A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities.
106 WIMBLEDON SQ, Chesapeake, VA 23320
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Other Identifiers 2

Medicare UPINT21716
Medicare ID-Type Unspecified350000266

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
363 services64 patients
Chiropractic manipulative treatment, 1-2 spinal regions 98940
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's physical function. In this service, a chiropractor applies controlled force to 1-2 spinal regions. This helps to restore mobility and alleviate discomfort in those areas.
34 services24 patients

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 Kim Fuller's NPI number?

The NPI number for Kim Fuller is 1063421147. It was assigned to this individual provider in the NPPES registry on August 6, 2006.

Where is Kim Fuller located?

Kim Fuller practices at 106 Wimbledon Sq, Chesapeake, VA 23320. The listed phone number is (757) 436-1037.

What is Kim Fuller's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.

When was this NPI record last updated?

The NPPES record for Kim Fuller was last updated on November 21, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.