Individual
DR. LYNN RAY GULLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1701 SPRING STREET, SUITE A, JEFFERSONVILLE, KY 47130
(812) 282-1367
(812) 284-8377
Mailing address
1701 SPRING STREET, SUITE A, JEFFERSONVILLE, KY 47130
(812) 282-1367
(812) 284-8377
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
1031626
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100138840
—
IN
Enumeration date
08/31/2006
Last updated
07/08/2007
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