Individual
KIARA D BULLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
30 S 4TH ST, NEWARK, OH 43055-5002
(380) 201-1313
Mailing address
4214 E MAIN ST, COLUMBUS, OH 43213-3028
(614) 639-5421
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.536732
OH
Other
Enumeration date
08/15/2025
Last updated
08/15/2025
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