Individual
MRS. MARY K. BULLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
305 TAYLOR ST # 402, BUTLER, KY 41006-1042
(731) 394-1145
Mailing address
PO BOX 269084, DEPT 1102, OKLAHOMA CITY, OK 73126
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3010516
KY
363LF0000X
Family Nurse Practitioner
3010516
KY
Other
Enumeration date
09/12/2016
Last updated
09/16/2025
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