Individual
KIMBERLY LYNNE BULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
839 S MAIN ST, LONDON, KY 40741-1996
(606) 864-7368
Mailing address
1112 VALLEY RUN DR, RICHMOND, KY 40475-3438
(478) 335-0991
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
017385
KY
Other
Enumeration date
03/24/2015
Last updated
03/24/2015
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