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COY FULLEN DO
NPI 1902967243
Family Medicine in Plummer, ID

Active since December 12, 2006
427 N 12TH ST, PLUMMER, ID 83851(208) 686-1931(208) 686-5133 Get Directions Write a Review

NPPES record last updated: May 16, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Coy Fullen Do NPPES

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

COY FULLEN DO (NPI 1902967243) is an individual family medicine provider in Plummer, Idaho, licensed in Idaho (O-0589) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1902967243
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameCOY FULLENCredential: DO
Location Address427 N 12TH STPlummer, ID 83851
Mailing AddressPo Box 388Plummer, ID 83851-0388 · (208) 686-1931 · Fax (208) 686-5133
Phone(208) 686-1931
Fax(208) 686-5133
Sole ProprietorNo
Enumeration DateDecember 12, 2006
Last NPPES UpdateMay 16, 2018
✔ NPI 1902967243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in ID · O-0589✔ Licensed in WA · BF4836978
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
427 N 12TH ST, Plummer, ID 83851
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Other Providers at the Same Location NPPES 6

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

ANGELA DAWN DELIO LCSW
Social Worker (Clinical)
427 N 12TH ST
PLUMMER, ID 83851
Benewah County (208) 686-1931
BENEWAH MEDICAL CENTER
Clinic/Center (Federally Qualified Health Center (FQHC))
427 N 12TH ST
PLUMMER, ID 83851
Benewah County (208) 686-1931
DR. TAYLOR JAMES WILKENS DDS
Dentist
427 N 12TH ST
PLUMMER, ID 83851
Benewah County (208) 686-1931
MR. AUSTEN REIS CARDOZA PA-C
Physician Assistant
427 N 12TH ST
PLUMMER, ID 83851
Benewah County (208) 686-1931
CARL PRINTZ LMSW
Counselor (Addiction (Substance Use Disorder))
427 N 12TH ST
PLUMMER, ID 83851
Benewah County (208) 686-1931
WILLOW R KENYON LCSW
Social Worker (Clinical)
427 N 12TH ST
PLUMMER, ID 83851
Benewah County (208) 686-1931

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 Coy Fullen's NPI number?

The NPI number for Coy Fullen is 1902967243. It was assigned to this individual provider in the NPPES registry on December 12, 2006.

Where is Coy Fullen located?

Coy Fullen practices at 427 N 12th St, Plummer, ID 83851. The listed phone number is (208) 686-1931.

What is Coy Fullen's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Coy Fullen was last updated on May 16, 2018. 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.