DR. KALEB EVAN FULLER DO
NPI 1568086965
Pediatrics - Pediatric Emergency Medicine in Oklahoma City, OK

Active since June 01, 2020
1200 CHILDRENS AVE, OKLAHOMA CITY, OK 73104(405) 271-4417 Get Directions Write a Review

NPPES record last updated: October 4, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 4, 2024, Jun 1, 2020 (2 updates tracked since 2020).

About Dr. Kaleb Evan Fuller Do NPPES

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

DR. KALEB EVAN FULLER DO (NPI 1568086965) is an individual pediatric emergency medicine provider in Oklahoma City, Oklahoma, licensed in Oklahoma (7338) and active in the NPI registry since June 2020.

NPPES Registry Identity

NPI1568086965
Entity TypeIndividualMale
Primary Taxonomy2080P0204X
Provider Legal NameDR. KALEB EVAN FULLERCredential: DO
Location Address1200 CHILDRENS AVEOklahoma City, OK 73104-4637
Mailing Address1200 Childrens AveOklahoma City, OK 73104-4637 · (405) 271-4417
Sole ProprietorNo
Enumeration DateJune 1, 2020
Last NPPES UpdateOctober 4, 20242 updates tracked since enumeration
NPPES CertifiedOctober 4, 2024
NPI 1568086965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
License Licensed in OK · 7338
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
1200 CHILDRENS AVE, Oklahoma City, OK 73104

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
1200 CHILDRENS AVE, SUITE 4D
OKLAHOMA CITY, OK 73104
Nurse Practitioner (Pediatrics)
1200 CHILDRENS AVE, SUITE 10000
OKLAHOMA CITY, OK 73104
Pediatrics
1200 CHILDRENS AVE
OKLAHOMA CITY, OK 73104
Dietitian, Registered
1200 CHILDRENS AVE
OKLAHOMA CITY, OK 73104
Pediatrics
1200 CHILDRENS AVE
OKLAHOMA CITY, OK 73104
Pediatrics
1200 CHILDRENS AVE
OKLAHOMA CITY, OK 73104
Pediatrics
1200 CHILDRENS AVE
OKLAHOMA CITY, OK 73104
Pediatrics (Hospice and Palliative Medicine)
1200 CHILDRENS AVE
OKLAHOMA CITY, OK 73104

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 Kaleb Fuller's NPI number?

The NPI number for Kaleb Fuller is 1568086965. It was assigned to this individual provider in the NPPES registry on June 1, 2020.

Where is Kaleb Fuller located?

Kaleb Fuller practices at 1200 Childrens Ave, Oklahoma City, OK 73104. The listed phone number is (405) 271-4417.

What is Kaleb Fuller's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

When was this NPI record last updated?

The NPPES record for Kaleb Fuller was last updated on October 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.