All Medicaid billing entities listing FULLER, KYLIE (PHARMACY MANAGER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| California | 1 | $19K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | KYLIE FULLER MD INC | POMONA, CA | Obstetrics & Gynecology Physician | $19K |