Individual
LACEY RICHELLE GULLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1480 CARTER AVE, ASHLAND, KY 41101-7546
(606) 329-1890
Mailing address
1480 CARTER AVE, ASHLAND, KY 41101-7546
(606) 329-1890
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4017749
KY
Other
Enumeration date
04/23/2024
Last updated
05/09/2024
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