Individual
DR. NATHAN MICHAEL BULLINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3950 KRESGE WAY STE 405, LOUISVILLE, KY 40207-4637
(502) 897-8100
Mailing address
5200 COMMERCE CROSSING, 3RD FLOOR, LOUISVILLE, KY 40229
(502) 253-4924
(502) 489-5750
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
48784
TN
207RI0200X
Infectious Disease Physician
Primary
TP520
KY
Other
Enumeration date
04/14/2010
Last updated
12/10/2020
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