Individual
KATHERINE LYNN BULLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
75 FRANCIS ST, BOSTON, MA 02115-6106
(617) 732-5500
Mailing address
749 9TH ST UNIT 13, DURHAM, NC 27705-4890
(802) 282-5598
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/31/2023
Last updated
08/31/2023
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