KYLIE RAE FULTINEER MD
NPI 1447007224
Student in an Organized Health Care Education/Training Program in West Mifflin, PA

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since May 01, 2024PECOS Enrolled

2397 MOUNTAIN VIEW DR, WEST MIFFLIN, PA 15122(412) 692-4888 Get Directions Write a Review

NPPES record last updated: May 5, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Kylie Rae Fultineer Md NPPES

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

KYLIE RAE FULTINEER MD (NPI 1447007224) is an individual student in an organized health care education/training program in West Mifflin, Pennsylvania and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1447007224

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameKYLIE RAE FULTINEERCredential: MD

Location Address2397 MOUNTAIN VIEW DRWest Mifflin, PA 15122-2445

Mailing Address3600 Forbes Ave Ste 140Pittsburgh, PA 15213-3410

Phone(412) 692-4888

Sole ProprietorNo

Enumeration DateMay 1, 2024

Last NPPES UpdateMay 5, 2024

NPPES CertifiedMay 5, 2024

✔ NPI 1447007224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2397 MOUNTAIN VIEW DR, West Mifflin, PA 15122

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kylie Rae Fultineer Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.