Individual
MRS. KAITLIN BULLOCK CORES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7302 S YALE AVE, TULSA, OK 74136-7027
(918) 591-2510
(855) 855-4102
Mailing address
7302 S YALE AVE, TULSA, OK 74136-7027
(918) 591-2510
(855) 855-4102
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
26553
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200224020B
—
OK
Enumeration date
08/26/2008
Last updated
09/30/2022
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