Individual
MISS KIMBERLY KAY GULLICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D. CCC-A
Contact information
Practice address
450 TURNER STREET, BRANCH HEALTH CLINIC NAVAL AIR STATION, PENSACOLA, FL 32508
(850) 452-5242
Mailing address
450 TURNER STREET, BRANCH HEALTH CLINIC NAVAL AIR STATION, PENSACOLA, FL 32508
(850) 452-5242
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AT005774
PA
Other
Enumeration date
01/09/2006
Last updated
09/12/2007
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