Individual
DR. KELSEY BULLINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
754 MAIN ST, GARDENDALE, AL 35071-2696
(205) 631-7700
Mailing address
709 GABLE DR, CENTER POINT, AL 35215-2868
(256) 620-2753
(616) 383-0610
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S-E85-TA-C33
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S-E85-TCA-C33
STATE LICENSE
AL
Enumeration date
05/11/2021
Last updated
10/21/2025
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