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KENDRA FULLMER
NPI 1891201539
Anesthesiologist Assistant in Saint Louis, MO

Active since December 18, 2017
1465 S GRAND BLVD DEPT OF, SAINT LOUIS, MO 63104(314) 678-3044 Get Directions Write a Review

NPPES record last updated: December 18, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kendra Fullmer NPPES

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

KENDRA FULLMER (NPI 1891201539) is an individual anesthesiologist assistant in Saint Louis, Missouri and active in the NPI registry since December 2017.

NPPES Registry Identity

NPI1891201539
Entity TypeIndividualFemale
Primary Taxonomy367H00000X
Provider Legal NameKENDRA FULLMER
Location Address1465 S GRAND BLVD DEPT OFSaint Louis, MO 63104-1003
Mailing Address1129 Babler Park DrWildwood, MO 63038-1310
Phone(314) 678-3044
Sole ProprietorNo
Enumeration DateDecember 18, 2017
✔ NPI 1891201539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367H00000X
Definition
An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.
1465 S GRAND BLVD DEPT OF, Saint Louis, MO 63104
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Other Providers at the Same Location NPPES

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

ANDREA G. ZEPEDA MD
Anesthesiology
1465 S GRAND BLVD DEPT OF
SAINT LOUIS, MO 63104
St. Louis City (314) 577-8750

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 Kendra Fullmer's NPI number?

The NPI number for Kendra Fullmer is 1891201539. It was assigned to this individual provider in the NPPES registry on December 18, 2017.

Where is Kendra Fullmer located?

Kendra Fullmer practices at 1465 S Grand Blvd Dept Of, Saint Louis, MO 63104. The listed phone number is (314) 678-3044.

What is Kendra Fullmer's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

What insurance does Kendra Fullmer accept?

Health plans from CareSource list Kendra Fullmer as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kendra Fullmer was last updated on December 18, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.