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DR. KELLY BLAINE FULLERTON D.C.
NPI 1164802633
Chiropractor in Oceanside, CA

Active since June 01, 2015
2110 S COAST HWY STE A, OCEANSIDE, CA 92054(760) 720-0000(760) 687-0017 Get Directions Write a Review

NPPES record last updated: June 1, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Kelly Blaine Fullerton D.c. NPPES

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

DR. KELLY BLAINE FULLERTON D.C. (NPI 1164802633) is an individual chiropractor in Oceanside, California, licensed in California (20978) and active in the NPI registry since June 2015.

NPPES Registry Identity

NPI1164802633
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. KELLY BLAINE FULLERTONCredential: D.C.
Location Address2110 S COAST HWY STE AOceanside, CA 92054-6544
Mailing Address2110 S Coast Hwy Ste AOceanside, CA 92054-6544 · (760) 720-0000 · Fax (760) 687-0017
Phone(760) 720-0000
Fax(760) 687-0017
Sole ProprietorNo
Enumeration DateJune 1, 2015
✔ NPI 1164802633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in CA · 20978
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Also ListedChiropractor · Occupational HealthTaxonomy 111NX0100X · License 20978 (CA)
2110 S COAST HWY STE A, Oceanside, CA 92054
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Other Names 1

Professional Name (2)Dr. Kelly Blaine Fullerton D.c.

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 Kelly Fullerton's NPI number?

The NPI number for Kelly Fullerton is 1164802633. It was assigned to this individual provider in the NPPES registry on June 1, 2015. The provider is also known as Dr. Kelly Blaine Fullerton D.C..

Where is Kelly Fullerton located?

Kelly Fullerton practices at 2110 S Coast Hwy Ste A, Oceanside, CA 92054. The listed phone number is (760) 720-0000.

What is Kelly Fullerton's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Kelly Fullerton was last updated on June 1, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.