Kelly Fulmer Gunn, OTRL CHT

Primary specialty

Hand Occupational TherapistTaxonomy code 225XH1200X

License

2759 Issued in SC

Practice address

5232 Sunset Blvd
Lexington, SC 29072-9347

Phone

(803) 756-4744

Fax

(803) 520-3125

NPI assigned

Feb 17, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627257600000",
    "number": "1811961501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5232 SUNSET BLVD BLDG 300",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290729347",
            "telephone_number": "803-756-4744",
            "fax_number": "803-520-3125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5232 SUNSET BLVD",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290729347",
            "telephone_number": "803-756-4744",
            "fax_number": "803-520-3125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNN",
        "first_name": "KELLY",
        "middle_name": "FULMER",
        "name_prefix": "Mrs.",
        "credential": "OTRL CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-17",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "SC",
            "license": "2759",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TH1558",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barbara L Grubbs, ACNP
• Marissa Guarino
• Michelle L Gudelski, CRNA
• Keith Alexander Guest, M.D.
• Andrew John Gummow, M.A.
• Rebecca Gunter, RBT
• Sukhvinder Kaur Guram, D.M.D.
• Richard Kyle Guyton, M.D.
• Angela Kristina Guzman-Matanane, SLP
• Sarah Kristina Haggood, LPN

• Hand Occupational Therapist in Lexington, SC
• Providers in Lexington, SC by specialty
• Hand Occupational Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.