License holder summary

KELLY RUSSELL FULLER is a Medicine (Physician, Including M Ds & D Os) licensed to practice in New York. The address on file for KELLY RUSSELL FULLER is NEW YORK NY. This doctor license is not current. The license was granted 12/04/1989.

New York

Office of the Professions

KELLY RUSSELL FULLER
Medicine (Physician, Including M Ds & D Os)
License number
180880
Date granted
12/04/1989
Class
Medicine (Physician, Including M Ds & D Os)
Status
Not Registered
Address
NEW YORK NY
nymedicine.org
ID 30185139
LAST UPDATED 2024-03-12 09:48:51 UTC

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