Individual
JAMES JEROME GULLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
103 S BRADFORD LN, #102, GEORGETOWN, KY 40324-2336
(502) 863-3112
(502) 863-3113
Mailing address
818 MONTCLAIR DR, LEXINGTON, KY 40502-2263
(606) 776-7946
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
45851
KY
Other
Enumeration date
05/19/2009
Last updated
08/23/2013
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