Individual
DR. JACOB ANDREW BULLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
152 W ZANDALE DR, SUITE 101, LEXINGTON, KY 40503-2486
(859) 272-0099
(859) 272-0073
Mailing address
152 W ZANDALE DR, SUITE 101, LEXINGTON, KY 40503-2486
(859) 272-0099
(859) 272-0073
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4918
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
85003333
—
KY
Enumeration date
01/24/2007
Last updated
05/06/2013
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