Kimberly Fuller

Primary specialty

Adult CompanionTaxonomy code 372600000X

Practice address

24960 Panama Ave
Warren, MI 48091-5603

Phone

(586) 441-2103

NPI assigned

Sep 25, 2026

Last updated

Sep 25, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1790294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790294400000",
    "number": "1811800220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24960 PANAMA AVE",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480915603",
            "telephone_number": "586-441-2103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24960 PANAMA AVE",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480915603",
            "telephone_number": "586-441-2103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLER",
        "first_name": "KIMBERLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-25",
        "last_updated": "2026-09-25",
        "certification_date": "2026-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary P Frye, DC
• Shelbie Frye, DC
• Marnie Lynn Fuerth
• Full of Blessings Home Care LLC
• Alison Renee Fuller, LMSW
• Clyde Furuta, RPH.
• Future Pharmacy Inc
• Kimberly Gabbidon, LLPC
• Farmas Gabrail
• Oscar Kwame Gagoh, DDS

• Adult Companion in Warren, MI
• Providers in Warren, MI by specialty
• Adult Companion in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.