Dr. Kenneth Fuller, DO
Family Medicine in Sturgis, SD. Individual provider (NPI-1).
NPI number1285329706
StatusActive
Last updated in NPPESAug 8, 2026
Details
- NPI
- 1285329706
- Entity type
- Individual (NPI-1)
- Name
- Dr. Kenneth Fuller
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 10, 2023
- Certification date
- Aug 8, 2026
- Last updated
- Aug 8, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · ORDER AND REFERRING ONLY - FAMILY PRACTICE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 18837 | SD | Yes |
Practice location
2140 Junction AveSturgis, SD 57785-2358
Phone 605-755-1000
Mailing address
2140 Junction AveSturgis, SD 57785-2358
Phone 605-755-1000
Is something wrong?
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