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KELLAN FINN FULTINEER
NPI 1811752637
Technician - Personal Care Attendant in Bridgeport, WV

Active since February 20, 2024
105 PLATINUM DR STE D, BRIDGEPORT, WV 26330(304) 622-0033 Get Directions Write a Review

NPPES record last updated: February 20, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Kellan Finn Fultineer NPPES

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

KELLAN FINN FULTINEER (NPI 1811752637) is an individual personal care attendant in Bridgeport, West Virginia and active in the NPI registry since February 2024.

NPPES Registry Identity

NPI1811752637
Entity TypeIndividualMale
Primary Taxonomy3747P1801X
Provider Legal NameKELLAN FINN FULTINEER
Location Address105 PLATINUM DR STE DBridgeport, WV 26330-2004
Mailing Address332 Cottage AveWeston, WV 26452-1914 · (304) 320-1601
Phone(304) 622-0033
Sole ProprietorNo
Enumeration DateFebruary 20, 2024
NPPES CertifiedFebruary 20, 2024
✔ NPI 1811752637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician · Personal Care AttendantNursing Service Related Providers
Taxonomy Code3747P1801X
Definition
An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
105 PLATINUM DR STE D, Bridgeport, WV 26330
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Other Names 1

Former Name (1)Kellan Richard Mericle

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 Kellan Fultineer's NPI number?

The NPI number for Kellan Fultineer is 1811752637. It was assigned to this individual provider in the NPPES registry on February 20, 2024. The provider is also known as Kellan Richard Mericle.

Where is Kellan Fultineer located?

Kellan Fultineer practices at 105 Platinum Dr Ste D, Bridgeport, WV 26330. The listed phone number is (304) 622-0033.

What is Kellan Fultineer's specialty?

The primary specialty registered for this NPI is Technician, specializing in Personal Care Attendant, with taxonomy code 3747P1801X.

When was this NPI record last updated?

The NPPES record for Kellan Fultineer was last updated on February 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.